| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $191.70 | $1,665.94 | $1,665.94 | |
Medica
| Facility | $224.75 | $1,355.48 | $3,730.22 | |
Midlands
| Facility | $461.43 | $3,572.36 | $4,751.53 | |
Sanford Health Plan
| Professional | $305.19 | $2,136.40 | $3,104.07 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |