| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $250.42 | $1,137.54 | $1,137.54 | |
Medica
| Facility | $319.26 | $1,037.28 | $3,008.58 | |
Midlands
| Facility | $648.04 | $2,334.78 | $3,587.34 | |
Sanford Health Plan
| Professional | $376.68 | $1,159.52 | $2,075.26 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |