| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.70 | $758.70 | $3,511.00 | |
Medica
| Facility | $977.83 | $1,282.20 | $2,139.14 | |
Midlands
| Facility | $1,375.00 | $2,093.08 | $4,555.17 | |
Sanford Health Plan
| Professional | $1,000.30 | $1,333.30 | $1,559.68 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |