| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $566.66 | $566.66 | $3,073.00 | |
Medica
| Facility | $588.65 | $863.25 | $1,658.22 | |
Midlands
| Facility | $895.68 | $1,478.92 | $3,285.23 | |
Sanford Health Plan
| Professional | $715.84 | $995.62 | $1,181.89 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |