| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $770.14 | $770.14 | $9,535.81 | |
Medica
| Facility | $835.02 | $1,281.75 | $2,363.67 | |
Midlands
| Facility | $1,277.08 | $2,055.23 | $3,960.15 | |
Sanford Health Plan
| Professional | $1,057.68 | $1,434.83 | $1,674.82 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |