| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $568.03 | $568.03 | $568.03 | |
Medica
| Facility | $743.10 | $961.61 | $1,487.64 | |
Midlands
| Facility | $1,042.08 | $1,392.98 | $3,711.03 | |
Sanford Health Plan
| Professional | $698.42 | $955.01 | $1,113.31 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |