| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $489.10 | $4,338.00 | $11,414.38 | |
Medica
| Facility | $641.03 | $826.58 | $1,255.53 | |
Midlands
| Facility | $908.50 | $1,209.84 | $10,990.36 | |
Sanford Health Plan
| Professional | $585.78 | $819.90 | $964.53 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |