| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $640.78 | $640.78 | $640.78 | |
Medica
| Facility | $837.97 | $1,104.53 | $1,659.34 | |
Midlands
| Facility | $1,186.84 | $1,585.01 | $8,250.46 | |
Sanford Health Plan
| Professional | $786.04 | $1,080.70 | $1,276.33 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |