| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $511.09 | $511.09 | $3,511.00 | |
Medica
| Facility | $666.29 | $877.11 | $1,368.10 | |
Midlands
| Facility | $941.01 | $1,337.33 | $3,711.03 | |
Sanford Health Plan
| Professional | $614.41 | $844.74 | $1,009.81 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |