| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $823.00 | $823.00 | $823.00 | |
Medica
| Facility | $1,063.46 | $1,372.42 | $1,940.99 | |
Midlands
| Facility | $1,285.00 | $1,974.39 | $3,711.03 | |
Sanford Health Plan
| Professional | $827.71 | $1,261.21 | $1,571.32 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |