| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $126.14 | $3,986.43 | $6,031.81 | |
Medica
| Facility | $169.66 | $224.64 | $396.58 | |
Midlands
| Facility | $266.00 | $397.62 | $2,929.96 | |
Sanford Health Plan
| Professional | $188.99 | $257.61 | $296.27 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |