| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $443.25 | $443.25 | $3,511.00 | |
Medica
| Facility | $577.63 | $761.68 | $1,420.82 | |
Midlands
| Facility | $816.67 | $1,158.73 | $3,711.03 | |
Sanford Health Plan
| Professional | $487.21 | $735.61 | $876.55 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |