| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $398.34 | $1,913.49 | $1,913.49 | |
Medica
| Facility | $565.29 | $2,206.66 | $4,228.14 | |
Midlands
| Facility | $949.06 | $2,932.27 | $4,242.99 | |
Sanford Health Plan
| Professional | $669.23 | $2,419.04 | $3,352.88 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |