| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $803.48 | $803.48 | $3,511.00 | |
Medica
| Facility | $650.22 | $934.04 | $1,741.38 | |
Midlands
| Facility | $1,380.16 | $1,495.65 | $2,380.56 | |
Sanford Health Plan
| Professional | $747.21 | $1,044.71 | $1,404.42 | |
United
| Facility | $3,143.00 | $3,143.00 | $7,542.00 |