| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $577.55 | $577.55 | $3,511.00 | |
Medica
| Facility | $524.63 | $895.28 | $1,734.28 | |
Midlands
| Facility | $935.00 | $1,529.90 | $4,599.72 | |
Sanford Health Plan
| Professional | $679.80 | $1,047.26 | $1,229.76 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |