| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $191.36 | $1,016.26 | $1,016.26 | |
Medica
| Facility | $244.56 | $921.19 | $2,726.63 | |
Midlands
| Facility | $495.96 | $2,074.23 | $3,206.71 | |
Sanford Health Plan
| Professional | $288.42 | $1,056.26 | $1,843.67 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |