| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $487.43 | $487.43 | $3,511.00 | |
Medica
| Facility | $527.70 | $704.98 | $1,289.95 | |
Midlands
| Facility | $807.00 | $1,351.70 | $5,406.84 | |
Sanford Health Plan
| Professional | $639.97 | $877.29 | $1,036.98 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |