| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $338.58 | $1,272.08 | $1,272.08 | |
Medica
| Facility | $434.68 | $1,171.47 | $3,658.02 | |
Midlands
| Facility | $887.40 | $2,722.53 | $4,061.26 | |
Sanford Health Plan
| Professional | $520.88 | $1,553.76 | $2,385.12 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |