| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $465.04 | $465.04 | $2,290.00 | |
Medica
| Facility | $504.71 | $672.13 | $1,247.25 | |
Midlands
| Facility | $656.00 | $1,182.90 | $1,776.52 | |
Sanford Health Plan
| Professional | $509.66 | $842.45 | $991.05 | |
United
| Facility | $2,714.00 | $2,714.00 | $3,905.54 |