| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $343.54 | $343.54 | $3,511.00 | |
Medica
| Facility | $451.68 | $580.58 | $910.81 | |
Midlands
| Facility | $584.00 | $943.89 | $4,114.05 | |
Sanford Health Plan
| Professional | $426.36 | $595.29 | $732.94 | |
United
| Facility | $2,714.00 | $2,714.00 | $9,872.90 |