| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $519.16 | $519.16 | $3,511.00 | |
Medica
| Facility | $676.79 | $852.57 | $1,317.82 | |
Midlands
| Facility | $953.10 | $1,270.63 | $3,711.03 | |
Sanford Health Plan
| Professional | $624.28 | $858.30 | $1,027.28 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |