| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $516.34 | $516.34 | $4,338.00 | |
Medica
| Facility | $689.73 | $872.61 | $1,437.58 | |
Midlands
| Facility | $925.00 | $1,496.53 | $2,929.96 | |
Sanford Health Plan
| Professional | $671.83 | $932.08 | $1,096.50 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |