| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $445.80 | $445.80 | $3,511.00 | |
Medica
| Facility | $544.91 | $753.40 | $1,172.58 | |
Midlands
| Facility | $831.73 | $1,108.26 | $8,250.46 | |
Sanford Health Plan
| Professional | $522.86 | $759.20 | $893.37 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |