| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $735.50 | $735.50 | $4,338.00 | |
Medica
| Facility | $948.10 | $1,243.00 | $2,064.30 | |
Midlands
| Facility | $1,329.00 | $2,015.89 | $3,079.87 | |
Sanford Health Plan
| Professional | $962.68 | $1,293.91 | $1,522.16 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |