| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $807.43 | $807.43 | $807.43 | |
Medica
| Facility | $1,050.61 | $1,415.75 | $2,796.15 | |
Midlands
| Facility | $1,285.00 | $2,115.50 | $3,711.03 | |
Sanford Health Plan
| Professional | $978.47 | $1,388.43 | $1,817.14 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |