| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $388.87 | $388.87 | $3,073.00 | |
Medica
| Facility | $425.65 | $657.19 | $1,074.15 | |
Midlands
| Facility | $680.00 | $1,046.36 | $5,269.25 | |
Sanford Health Plan
| Professional | $448.81 | $661.59 | $754.29 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |