| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $665.09 | $665.09 | $3,511.00 | |
Medica
| Facility | $806.18 | $1,034.83 | $1,717.65 | |
Midlands
| Facility | $1,171.41 | $1,757.40 | $3,711.03 | |
Sanford Health Plan
| Professional | $752.75 | $1,114.91 | $1,320.32 | |
Sanford Health Plan
| Professional | AS | $244.64 | $244.64 | $244.64 |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |