| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $616.79 | $616.79 | $3,073.00 | |
Medica
| Facility | $660.25 | $1,042.39 | $1,860.79 | |
Midlands
| Facility | $1,002.42 | $1,622.03 | $6,721.75 | |
Sanford Health Plan
| Professional | $786.35 | $1,127.33 | $1,324.20 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |