| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $179.68 | $888.10 | $888.10 | |
Medica
| Facility | $231.20 | $787.88 | $2,536.98 | |
Midlands
| Facility | $471.36 | $1,872.69 | $3,103.79 | |
Sanford Health Plan
| Professional | $276.83 | $1,076.58 | $1,652.83 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |