| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $511.04 | $511.04 | $2,290.00 | |
Medica
| Facility | $418.58 | $634.86 | $1,240.17 | |
Midlands
| Facility | $895.13 | $1,096.65 | $1,821.47 | |
Sanford Health Plan
| Professional | $509.34 | $776.31 | $917.30 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |