| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $641.97 | $641.97 | $641.97 | |
Medica
| Facility | $837.38 | $1,098.45 | $1,639.06 | |
Midlands
| Facility | $1,181.31 | $1,656.59 | $3,711.03 | |
Sanford Health Plan
| Professional | $709.07 | $1,064.77 | $1,269.85 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |