| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $746.20 | $746.20 | $3,511.00 | |
Medica
| Facility | $981.54 | $1,261.08 | $2,026.03 | |
Midlands
| Facility | $1,150.57 | $1,834.26 | $8,250.46 | |
Sanford Health Plan
| Professional | $936.25 | $1,291.97 | $1,472.99 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |