| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $581.82 | $581.82 | $3,511.00 | |
Medica
| Facility | $762.69 | $983.28 | $1,537.02 | |
Midlands
| Facility | $1,075.51 | $1,434.53 | $3,711.03 | |
Sanford Health Plan
| Professional | $720.19 | $981.70 | $1,143.07 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |