| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $809.66 | $809.66 | $3,511.00 | |
Medica
| Facility | $655.61 | $941.78 | $1,762.85 | |
Midlands
| Facility | $1,318.31 | $1,512.38 | $2,380.56 | |
Sanford Health Plan
| Professional | $752.97 | $1,056.24 | $1,416.71 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |