| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $791.14 | $791.14 | $4,338.00 | |
Medica
| Facility | $829.15 | $1,425.32 | $2,367.69 | |
Midlands
| Facility | $1,279.17 | $2,076.76 | $6,855.77 | |
Sanford Health Plan
| Professional | $1,021.25 | $1,404.66 | $1,643.77 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |