| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $522.51 | $522.51 | $4,338.00 | |
Medica
| Facility | $571.76 | $883.04 | $1,473.33 | |
Midlands
| Facility | $845.32 | $1,353.65 | $1,767.62 | |
Sanford Health Plan
| Professional | $686.46 | $953.85 | $1,119.14 | |
United
| Facility | $6,571.00 | $6,571.00 | $6,571.00 |