| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $505.77 | $505.77 | $3,073.00 | |
Medica
| Facility | $660.95 | $854.75 | $1,326.30 | |
Midlands
| Facility | $932.19 | $1,243.93 | $8,250.46 | |
Sanford Health Plan
| Professional | $623.89 | $852.35 | $1,002.70 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |