| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $705.31 | $705.31 | $3,073.00 | |
Medica
| Facility | $850.75 | $1,164.29 | $1,774.15 | |
Midlands
| Facility | $1,042.24 | $1,570.59 | $1,862.81 | |
Sanford Health Plan
| Professional | $784.28 | $1,165.64 | $1,396.01 | |
United
| Facility | $1,643.00 | $1,643.00 | $1,643.00 |