| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $590.08 | $590.08 | $3,073.00 | |
Medica
| Facility | $449.68 | $882.82 | $1,555.63 | |
Midlands
| Facility | $953.00 | $1,463.09 | $11,573.37 | |
Sanford Health Plan
| Professional | $646.72 | $1,001.37 | $1,178.00 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |