| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $301.88 | $1,000.35 | $10,781.76 | |
Medica
| Facility | $397.28 | $814.07 | $2,412.27 | |
Midlands
| Facility | $692.35 | $2,008.00 | $2,780.21 | |
Sanford Health Plan
| Professional | $468.51 | $1,226.05 | $1,814.29 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |