| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $543.54 | $543.54 | $543.54 | |
Medica
| Facility | $584.66 | $918.58 | $1,620.34 | |
Midlands
| Facility | $879.34 | $1,443.36 | $3,960.15 | |
Sanford Health Plan
| Professional | $714.43 | $979.38 | $1,172.18 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |