| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $875.08 | $875.08 | $4,338.00 | |
Medica
| Facility | $949.45 | $1,478.89 | $2,542.31 | |
Midlands
| Facility | $1,451.57 | $2,183.77 | $3,034.65 | |
Sanford Health Plan
| Professional | $1,111.64 | $1,636.16 | $1,904.47 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |