| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $485.40 | $609.16 | $609.16 | |
Medica
| Facility | $686.24 | $874.25 | $1,417.43 | |
Midlands
| Facility | $1,060.60 | $1,335.14 | $2,305.56 | |
Sanford Health Plan
| Professional | $620.19 | $984.58 | $1,204.53 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |