| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $389.14 | $389.14 | $3,511.00 | |
Medica
| Facility | $417.92 | $651.88 | $1,195.68 | |
Midlands
| Facility | $664.82 | $1,129.99 | $16,745.04 | |
Sanford Health Plan
| Professional | $527.16 | $702.22 | $826.09 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |