| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $670.07 | $670.07 | $3,511.00 | |
Medica
| Facility | $838.12 | $1,078.86 | $1,815.86 | |
Midlands
| Facility | $1,127.00 | $1,725.01 | $2,197.38 | |
Sanford Health Plan
| Professional | $757.05 | $1,162.72 | $1,396.01 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |