| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $651.90 | $2,758.80 | $6,757.01 | |
Medica
| Facility | $858.76 | $1,101.71 | $1,757.61 | |
Midlands
| Facility | $1,012.31 | $1,658.15 | $3,711.03 | |
Sanford Health Plan
| Professional | $809.80 | $1,117.47 | $1,296.39 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |