| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $417.71 | $417.71 | $3,073.00 | |
Medica
| Facility | $511.41 | $666.54 | $1,087.00 | |
Midlands
| Facility | $789.23 | $1,054.28 | $2,173.59 | |
Sanford Health Plan
| Professional | $478.52 | $706.70 | $850.03 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |