| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $297.39 | $297.39 | $1,372.38 | |
Medica
| Facility | $395.64 | $502.59 | $913.07 | |
Midlands
| Facility | $564.00 | $860.73 | $3,079.87 | |
Sanford Health Plan
| Professional | $408.68 | $547.15 | $643.66 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |