| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $464.18 | $464.18 | $4,338.00 | |
Medica
| Facility | $616.72 | $784.46 | $1,427.36 | |
Midlands
| Facility | $860.00 | $1,342.71 | $3,103.79 | |
Sanford Health Plan
| Professional | $638.76 | $850.15 | $1,000.11 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |