| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $543.13 | $543.13 | $9,214.90 | |
Medica
| Facility | $677.09 | $903.36 | $1,364.86 | |
Midlands
| Facility | $999.72 | $1,332.16 | $3,711.03 | |
Sanford Health Plan
| Professional | $605.33 | $891.34 | $1,071.91 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |