| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $556.33 | $556.33 | $3,511.00 | |
Medica
| Facility | $455.89 | $715.66 | $1,357.78 | |
Midlands
| Facility | $954.82 | $1,199.10 | $1,821.47 | |
Sanford Health Plan
| Professional | $556.65 | $853.67 | $1,145.01 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |