| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $972.35 | $972.35 | $972.35 | |
Medica
| Facility | $1,212.53 | $1,547.09 | $2,645.63 | |
Midlands
| Facility | $1,659.00 | $2,488.87 | $3,929.20 | |
Sanford Health Plan
| Professional | $1,235.69 | $1,671.15 | $1,965.93 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |