| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $822.91 | $822.91 | $3,073.00 | |
Medica
| Facility | $866.02 | $1,143.05 | $2,158.55 | |
Midlands
| Facility | $1,251.00 | $2,101.16 | $4,968.71 | |
Sanford Health Plan
| Professional | $998.84 | $1,350.71 | $1,578.44 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |