| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $535.24 | $535.24 | $3,511.00 | |
Medica
| Facility | $649.40 | $828.74 | $1,360.10 | |
Midlands
| Facility | $949.84 | $1,401.96 | $3,711.03 | |
Sanford Health Plan
| Professional | $589.13 | $884.26 | $1,062.21 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |