| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $607.95 | $607.95 | $3,511.00 | |
Medica
| Facility | $499.34 | $757.76 | $1,510.53 | |
Midlands
| Facility | $1,070.46 | $1,330.28 | $1,821.47 | |
Sanford Health Plan
| Professional | $617.95 | $934.83 | $1,099.73 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |