| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $205.42 | $861.62 | $861.62 | |
Medica
| Facility | $241.15 | $719.17 | $2,002.02 | |
Midlands
| Facility | $495.66 | $1,605.88 | $3,710.21 | |
Sanford Health Plan
| Professional | $331.04 | $1,071.67 | $1,437.41 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |