| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $410.10 | $1,907.45 | $8,110.53 | |
Medica
| Facility | $589.29 | $798.44 | $1,297.33 | |
Midlands
| Facility | $926.26 | $1,234.34 | $3,711.03 | |
Sanford Health Plan
| Professional | $550.10 | $825.44 | $1,097.14 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |