| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $423.88 | $1,920.90 | $1,920.90 | |
Medica
| Facility | $599.97 | $2,207.52 | $4,229.79 | |
Midlands
| Facility | $1,012.63 | $2,932.27 | $4,282.31 | |
Sanford Health Plan
| Professional | $710.47 | $2,441.52 | $3,356.12 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |