| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $391.42 | $391.42 | $4,338.00 | |
Medica
| Facility | $404.35 | $661.50 | $1,087.89 | |
Midlands
| Facility | $691.00 | $1,071.66 | $3,079.87 | |
Sanford Health Plan
| Professional | $502.86 | $682.43 | $802.80 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |