| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $584.32 | $584.32 | $2,290.00 | |
Medica
| Facility | $752.67 | $987.50 | $1,631.18 | |
Midlands
| Facility | $1,044.00 | $1,607.51 | $8,364.48 | |
Sanford Health Plan
| Professional | $765.04 | $1,017.32 | $1,196.77 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |