| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $504.18 | $504.18 | $4,338.00 | |
Medica
| Facility | $634.35 | $849.85 | $1,370.53 | |
Midlands
| Facility | $790.71 | $1,364.56 | $1,732.15 | |
Sanford Health Plan
| Professional | $647.72 | $904.36 | $1,086.79 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |