| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $508.74 | $508.74 | $3,073.00 | |
Medica
| Facility | $667.12 | $861.70 | $1,422.91 | |
Midlands
| Facility | $946.53 | $1,261.29 | $3,711.03 | |
Sanford Health Plan
| Professional | $637.70 | $885.71 | $1,009.81 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |