| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $411.97 | $411.97 | $3,073.00 | |
Medica
| Facility | $516.26 | $680.15 | $1,048.66 | |
Midlands
| Facility | $757.38 | $1,008.22 | $3,711.03 | |
Sanford Health Plan
| Professional | $493.67 | $683.10 | $809.27 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |