| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $472.17 | $472.17 | $3,511.00 | |
Medica
| Facility | $573.72 | $792.72 | $1,229.55 | |
Midlands
| Facility | $867.01 | $1,156.77 | $3,711.03 | |
Sanford Health Plan
| Professional | $510.98 | $796.81 | $937.36 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |