| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $898.24 | $898.24 | $898.24 | |
Medica
| Facility | $1,093.35 | $1,518.03 | $2,269.78 | |
Midlands
| Facility | $1,538.00 | $2,043.98 | $2,678.01 | |
Sanford Health Plan
| Professional | $1,042.63 | $1,445.74 | $1,648.30 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |