| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $497.74 | $497.74 | $3,511.00 | |
Medica
| Facility | $654.94 | $852.92 | $1,322.97 | |
Midlands
| Facility | $937.90 | $1,250.60 | $3,711.03 | |
Sanford Health Plan
| Professional | $614.26 | $850.70 | $1,000.75 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |