| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $817.33 | $817.33 | $3,511.00 | |
Medica
| Facility | $992.97 | $1,293.08 | $2,247.63 | |
Midlands
| Facility | $1,387.40 | $1,982.52 | $2,749.96 | |
Sanford Health Plan
| Professional | $1,114.26 | $1,506.78 | $1,762.16 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |