| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $849.83 | $849.83 | $2,290.00 | |
Medica
| Facility | $688.08 | $988.43 | $1,823.94 | |
Midlands
| Facility | $1,313.34 | $1,549.41 | $2,418.34 | |
Sanford Health Plan
| Professional | $782.45 | $1,093.67 | $1,489.16 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |