| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $646.91 | $646.91 | $3,511.00 | |
Medica
| Facility | $793.74 | $1,040.75 | $1,844.77 | |
Midlands
| Facility | $1,216.09 | $1,738.54 | $3,711.03 | |
Sanford Health Plan
| Professional | $811.06 | $1,154.66 | $1,316.44 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |