| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $460.90 | $460.90 | $6,750.00 | |
Medica
| Facility | $593.95 | $772.14 | $1,163.29 | |
Midlands
| Facility | $847.77 | $1,205.20 | $3,711.03 | |
Sanford Health Plan
| Professional | $552.54 | $759.79 | $911.48 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |