| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $608.26 | $608.26 | $3,511.00 | |
Medica
| Facility | $799.08 | $1,027.96 | $1,562.26 | |
Midlands
| Facility | $1,089.00 | $1,510.61 | $8,250.46 | |
Sanford Health Plan
| Professional | $731.11 | $1,005.19 | $1,207.76 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |