| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $821.89 | $821.89 | $821.89 | |
Medica
| Facility | $1,086.89 | $1,388.99 | $2,274.66 | |
Midlands
| Facility | $1,301.98 | $1,940.15 | $2,645.67 | |
Sanford Health Plan
| Professional | $1,053.07 | $1,412.83 | $1,611.37 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |