| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $912.01 | $912.01 | $4,365.16 | |
Medica
| Facility | $812.83 | $1,318.26 | $2,630.27 | |
Midlands
| Professional | $2,187.76 | $2,238.72 | $2,398.83 | |
Sanford Health Plan
| Professional | $1,122.02 | $1,621.81 | $1,949.84 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |