| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $560.87 | $560.87 | $560.87 | |
Medica
| Facility | $732.15 | $947.87 | $1,428.04 | |
Midlands
| Facility | $1,032.33 | $1,376.40 | $3,711.03 | |
Sanford Health Plan
| Professional | $673.19 | $925.55 | $1,109.43 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |