| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $917.23 | $917.23 | $917.23 | |
Medica
| Facility | $958.11 | $1,550.12 | $2,803.93 | |
Midlands
| Facility | $1,516.04 | $2,280.00 | $3,109.74 | |
Sanford Health Plan
| Professional | $1,149.01 | $1,684.90 | $1,951.70 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |