| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $508.98 | $508.98 | $3,511.00 | |
Medica
| Facility | $663.42 | $872.80 | $1,293.98 | |
Midlands
| Facility | $937.01 | $1,331.94 | $3,711.03 | |
Sanford Health Plan
| Professional | $610.54 | $839.43 | $1,005.28 | |
United
| Facility | $3,143.00 | $3,143.00 | $6,489.22 |