| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $791.74 | $791.74 | $3,511.00 | |
Medica
| Facility | $646.25 | $928.34 | $1,801.97 | |
Midlands
| Facility | $1,335.75 | $1,595.32 | $2,380.56 | |
Sanford Health Plan
| Professional | $741.79 | $1,126.75 | $1,417.36 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |