| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $361.07 | $361.07 | $3,511.00 | |
Medica
| Facility | $339.24 | $560.78 | $951.13 | |
Midlands
| Facility | $689.50 | $824.79 | $1,073.08 | |
Sanford Health Plan
| Professional | $435.92 | $586.69 | $668.89 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |