| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $547.15 | $547.15 | $2,290.00 | |
Medica
| Facility | $500.00 | $898.16 | $1,652.38 | |
Midlands
| Facility | $893.20 | $1,454.74 | $4,599.72 | |
Sanford Health Plan
| Professional | $646.21 | $989.82 | $1,167.65 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |