| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $299.04 | $299.04 | $2,290.00 | |
Medica
| Facility | $374.84 | $505.38 | $831.91 | |
Midlands
| Facility | $579.70 | $773.18 | $23,319.12 | |
Sanford Health Plan
| Professional | $394.73 | $533.78 | $616.50 | |
United
| Facility | $6,571.00 | $6,571.00 | $6,571.00 |