| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $635.23 | $635.23 | $3,073.00 | |
Medica
| Facility | $800.00 | $1,073.54 | $1,620.43 | |
Midlands
| Facility | $953.00 | $1,556.90 | $3,711.03 | |
Sanford Health Plan
| Professional | $768.44 | $1,056.51 | $1,254.33 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |