| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $493.91 | $493.91 | $3,073.00 | |
Medica
| Facility | $605.66 | $803.61 | $1,207.85 | |
Midlands
| Facility | $933.74 | $1,235.76 | $2,173.59 | |
Sanford Health Plan
| Professional | $562.45 | $775.72 | $963.23 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |