| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $797.57 | $797.57 | $797.57 | |
Medica
| Facility | $1,027.63 | $1,326.67 | $1,852.24 | |
Midlands
| Facility | $1,285.00 | $1,914.06 | $8,250.46 | |
Sanford Health Plan
| Professional | $796.35 | $1,205.76 | $1,516.33 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |