| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $369.17 | $369.17 | $3,073.00 | |
Medica
| Facility | $450.76 | $623.90 | $1,010.20 | |
Midlands
| Facility | $721.00 | $1,054.60 | $22,114.19 | |
Sanford Health Plan
| Professional | $457.04 | $674.19 | $789.86 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |