| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $743.43 | $743.43 | $4,338.00 | |
Medica
| Facility | $958.57 | $1,234.06 | $1,732.60 | |
Midlands
| Facility | $1,337.93 | $1,777.30 | $3,711.03 | |
Sanford Health Plan
| Professional | $742.47 | $1,126.71 | $1,412.18 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |