| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $985.10 | $985.10 | $3,073.00 | |
Medica
| Facility | $930.50 | $1,452.56 | $2,574.26 | |
Midlands
| Facility | $1,481.00 | $2,491.00 | $3,929.20 | |
Sanford Health Plan
| Professional | $1,029.15 | $1,563.64 | $2,001.51 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |