| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $355.27 | $355.27 | $3,511.00 | |
Medica
| Facility | $470.90 | $600.41 | $1,090.90 | |
Midlands
| Facility | $645.00 | $1,034.86 | $3,079.87 | |
Sanford Health Plan
| Professional | $493.88 | $659.11 | $767.87 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |