| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $486.97 | $486.97 | $3,511.00 | |
Medica
| Facility | $637.62 | $819.24 | $1,258.75 | |
Midlands
| Facility | $898.35 | $1,196.02 | $4,599.72 | |
Sanford Health Plan
| Professional | $585.37 | $806.15 | $948.36 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |