| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $741.82 | $741.82 | $4,338.00 | |
Medica
| Facility | $972.80 | $1,253.68 | $1,970.04 | |
Midlands
| Facility | $1,379.19 | $1,842.79 | $8,250.46 | |
Sanford Health Plan
| Professional | $924.11 | $1,263.68 | $1,485.28 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |