| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $974.56 | $974.56 | $3,511.00 | |
Medica
| Facility | $799.45 | $1,221.05 | $2,449.66 | |
Midlands
| Facility | $1,720.62 | $2,138.23 | $2,777.32 | |
Sanford Health Plan
| Professional | $999.38 | $1,525.35 | $1,769.92 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |