| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $690.88 | $690.88 | $4,338.00 | |
Medica
| Facility | $920.18 | $1,167.58 | $1,956.81 | |
Midlands
| Facility | $1,127.93 | $1,882.36 | $2,387.07 | |
Sanford Health Plan
| Professional | $917.32 | $1,276.86 | $1,502.10 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |