| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $460.32 | $460.32 | $3,511.00 | |
Medica
| Facility | $598.88 | $777.86 | $1,157.61 | |
Midlands
| Facility | $846.15 | $1,126.95 | $3,711.03 | |
Sanford Health Plan
| Professional | $546.61 | $751.53 | $908.89 | |
United
| Facility | $3,143.00 | $3,143.00 | $6,489.22 |