| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $720.06 | $720.06 | $4,338.00 | |
Medica
| Facility | $961.29 | $1,216.90 | $2,045.59 | |
Midlands
| Facility | $1,175.67 | $1,965.97 | $2,489.25 | |
Sanford Health Plan
| Professional | $906.78 | $1,331.31 | $1,566.14 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |