| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $931.51 | $931.51 | $4,338.00 | |
Medica
| Facility | $845.94 | $1,441.16 | $2,336.56 | |
Midlands
| Facility | $1,772.64 | $1,864.67 | $2,219.27 | |
Sanford Health Plan
| Professional | $1,111.44 | $1,474.11 | $1,680.65 | |
United
| Facility | $7,865.00 | $7,865.00 | $7,865.00 |