| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $529.96 | $529.96 | $3,511.00 | |
Medica
| Facility | $697.02 | $913.12 | $1,475.07 | |
Midlands
| Facility | $993.33 | $1,323.55 | $3,711.03 | |
Sanford Health Plan
| Professional | $661.99 | $920.89 | $1,049.92 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |