| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $570.55 | $570.55 | $3,511.00 | |
Medica
| Facility | $749.48 | $954.00 | $1,490.36 | |
Midlands
| Facility | $1,068.35 | $1,422.88 | $3,711.03 | |
Sanford Health Plan
| Professional | $687.12 | $958.59 | $1,138.54 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |