| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $852.87 | $852.87 | $3,511.00 | |
Medica
| Facility | $945.59 | $1,545.98 | $2,620.87 | |
Midlands
| Facility | $1,414.62 | $2,127.02 | $2,960.61 | |
Sanford Health Plan
| Professional | $1,014.11 | $1,596.71 | $1,860.48 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |