| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $714.98 | $714.98 | $3,073.00 | |
Medica
| Facility | $916.33 | $1,175.43 | $1,842.82 | |
Midlands
| Facility | $1,058.25 | $1,760.81 | $8,250.46 | |
Sanford Health Plan
| Professional | $842.94 | $1,202.63 | $1,414.77 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |