| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $686.90 | $8,004.97 | $8,661.66 | |
Medica
| Facility | $877.46 | $1,160.85 | $1,828.46 | |
Midlands
| Facility | $1,089.00 | $1,696.00 | $3,711.03 | |
Sanford Health Plan
| Professional | $854.60 | $1,172.58 | $1,363.67 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |