| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $669.92 | $669.92 | $2,290.00 | |
Medica
| Facility | $894.25 | $1,132.16 | $2,128.02 | |
Midlands
| Facility | $1,164.93 | $1,777.24 | $1,799.75 | |
Sanford Health Plan
| Professional | $1,010.68 | $1,361.19 | $1,551.91 | |
United
| Facility | $2,714.00 | $2,714.00 | $6,359.06 |