| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $242.02 | $1,165.48 | $1,165.48 | |
Medica
| Facility | $310.67 | $1,031.25 | $3,331.90 | |
Midlands
| Facility | $634.51 | $2,433.02 | $3,768.80 | |
Sanford Health Plan
| Professional | $371.85 | $1,345.79 | $2,162.59 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |