| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $929.14 | $929.14 | $929.14 | |
Medica
| Facility | $1,221.21 | $1,534.54 | $2,458.16 | |
Midlands
| Facility | $1,415.80 | $2,133.67 | $2,914.71 | |
Sanford Health Plan
| Professional | $1,164.04 | $1,574.36 | $1,852.07 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |