| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $896.88 | $896.88 | $896.88 | |
Medica
| Facility | $1,178.32 | $1,515.73 | $2,374.90 | |
Midlands
| Facility | $1,365.56 | $2,055.98 | $2,811.48 | |
Sanford Health Plan
| Professional | $1,120.91 | $1,522.44 | $1,788.68 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |