| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $613.79 | $1,103.90 | $1,103.90 | |
Medica
| Facility | $861.56 | $1,291.00 | $1,865.59 | |
Midlands
| Facility | $1,273.86 | $2,216.54 | $3,711.03 | |
Sanford Health Plan
| Professional | $880.20 | $1,355.25 | $1,996.98 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |