| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $682.30 | $982.40 | $4,338.00 | |
Medica
| Facility | $831.75 | $1,153.08 | $1,790.54 | |
Midlands
| Facility | $1,282.61 | $1,571.10 | $2,173.59 | |
Sanford Health Plan
| Professional | $834.56 | $1,160.92 | $1,377.25 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |