| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $536.86 | $975.04 | $3,511.00 | |
Medica
| Facility | $702.52 | $921.51 | $1,403.12 | |
Midlands
| Facility | $994.71 | $1,328.57 | $3,711.03 | |
Sanford Health Plan
| Professional | $664.61 | $905.14 | $1,064.80 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |