| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $471.23 | $471.23 | $12,114.33 | |
Medica
| Facility | $447.21 | $796.38 | $1,264.08 | |
Midlands
| Facility | $846.00 | $1,087.61 | $2,383.04 | |
Sanford Health Plan
| Professional | $567.40 | $770.53 | $878.49 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |