| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $266.32 | $266.32 | $3,073.00 | |
Medica
| Facility | $354.83 | $473.85 | $706.29 | |
Midlands
| Facility | $503.07 | $719.52 | $2,173.59 | |
Sanford Health Plan
| Professional | $335.12 | $470.71 | $553.75 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |