| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $460.97 | $460.97 | $460.97 | |
Medica
| Facility | $612.94 | $779.04 | $1,417.83 | |
Midlands
| Facility | $939.00 | $1,332.85 | $3,103.79 | |
Sanford Health Plan
| Professional | $632.70 | $847.40 | $996.87 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |