| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $284.83 | $284.83 | $3,073.00 | |
Medica
| Facility | $380.05 | $505.58 | $775.98 | |
Midlands
| Facility | $540.65 | $784.46 | $7,260.61 | |
Sanford Health Plan
| Professional | $368.46 | $501.87 | $589.33 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |