| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $359.29 | $359.29 | $4,338.00 | |
Medica
| Facility | $414.34 | $607.20 | $969.61 | |
Midlands
| Facility | $556.02 | $836.97 | $4,569.18 | |
Sanford Health Plan
| Professional | $438.89 | $559.29 | $661.55 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |