| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $530.00 | $530.00 | $3,511.00 | |
Medica
| Facility | $693.15 | $887.78 | $1,372.42 | |
Midlands
| Facility | $972.28 | $1,297.94 | $3,711.03 | |
Sanford Health Plan
| Professional | $646.16 | $880.39 | $1,035.69 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |