| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $510.07 | $510.07 | $4,338.00 | |
Medica
| Facility | $505.68 | $754.59 | $1,303.72 | |
Midlands
| Facility | $755.24 | $1,274.66 | $2,173.59 | |
Sanford Health Plan
| Professional | $543.89 | $845.33 | $1,022.75 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |