| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $746.78 | $746.78 | $4,338.00 | |
Medica
| Facility | $835.28 | $1,125.96 | $1,929.48 | |
Midlands
| Facility | $1,125.67 | $1,835.59 | $3,711.03 | |
Sanford Health Plan
| Professional | $807.52 | $1,252.35 | $1,476.87 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |