| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $252.59 | $252.59 | $3,073.00 | |
Medica
| Facility | $336.64 | $494.45 | $901.67 | |
Midlands
| Facility | $604.00 | $750.35 | $4,114.05 | |
Sanford Health Plan
| Professional | $356.59 | $481.72 | $563.37 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |