| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $412.26 | $412.26 | $3,511.00 | |
Medica
| Facility | $536.15 | $699.37 | $1,046.89 | |
Midlands
| Facility | $760.94 | $1,075.26 | $3,711.03 | |
Sanford Health Plan
| Professional | $495.56 | $681.33 | $817.03 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |