| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $589.35 | $589.35 | $3,511.00 | |
Medica
| Facility | $764.45 | $996.00 | $1,506.13 | |
Midlands
| Facility | $1,086.98 | $1,450.59 | $3,711.03 | |
Sanford Health Plan
| Professional | $708.80 | $974.51 | $1,167.01 | |
United
| Facility | $3,143.00 | $3,143.00 | $6,489.22 |