| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $504.80 | $504.80 | $15,667.61 | |
Medica
| Facility | $639.51 | $831.83 | $1,332.43 | |
Midlands
| Facility | $927.02 | $1,242.60 | $3,711.03 | |
Sanford Health Plan
| Professional | $623.73 | $857.54 | $1,007.87 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |