| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $578.78 | $578.78 | $3,073.00 | |
Medica
| Facility | $746.13 | $978.14 | $1,616.99 | |
Midlands
| Facility | $1,037.00 | $1,598.53 | $4,555.17 | |
Sanford Health Plan
| Professional | $757.25 | $1,011.82 | $1,190.30 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |