| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $865.72 | $865.72 | $3,073.00 | |
Medica
| Facility | $914.35 | $1,452.74 | $2,620.01 | |
Midlands
| Facility | $1,421.97 | $2,282.77 | $3,285.23 | |
Sanford Health Plan
| Professional | $1,164.46 | $1,574.66 | $1,832.67 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |