| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $651.16 | $651.16 | $651.16 | |
Medica
| Facility | $831.04 | $1,098.83 | $1,717.32 | |
Midlands
| Facility | $1,204.28 | $1,608.73 | $3,711.03 | |
Sanford Health Plan
| Professional | $808.55 | $1,101.80 | $1,295.74 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |