| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $625.78 | $625.78 | $3,511.00 | |
Medica
| Facility | $805.97 | $1,057.57 | $1,604.42 | |
Midlands
| Facility | $1,089.00 | $1,537.56 | $3,711.03 | |
Sanford Health Plan
| Professional | $673.22 | $1,042.94 | $1,240.75 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |