| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $424.44 | $424.44 | $4,338.00 | |
Medica
| Facility | $565.05 | $717.30 | $1,154.83 | |
Midlands
| Facility | $670.99 | $1,149.10 | $1,443.28 | |
Sanford Health Plan
| Professional | $539.20 | $752.83 | $900.48 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |