| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $336.76 | $2,219.40 | $9,895.60 | |
Medica
| Facility | $434.00 | $609.90 | $981.79 | |
Midlands
| Facility | $628.00 | $1,040.07 | $2,865.77 | |
Sanford Health Plan
| Professional | $451.04 | $645.03 | $857.14 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |