| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $845.76 | $845.76 | $845.76 | |
Medica
| Facility | $1,088.54 | $1,429.33 | $2,386.48 | |
Midlands
| Facility | $1,382.31 | $2,206.44 | $2,747.85 | |
Sanford Health Plan
| Professional | $1,122.25 | $1,495.18 | $1,736.93 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |