| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $662.32 | $662.32 | $3,511.00 | |
Medica
| Facility | $828.53 | $1,064.73 | $1,778.04 | |
Midlands
| Facility | $1,084.00 | $1,706.97 | $2,197.38 | |
Sanford Health Plan
| Professional | $744.24 | $1,142.99 | $1,385.66 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |