| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $448.96 | $448.96 | $3,511.00 | |
Medica
| Facility | $565.73 | $746.22 | $1,192.39 | |
Midlands
| Facility | $851.27 | $1,133.55 | $2,173.59 | |
Sanford Health Plan
| Professional | $555.20 | $763.33 | $907.60 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |