| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $627.05 | $785.68 | $785.68 | |
Medica
| Facility | $865.51 | $1,112.35 | $1,803.47 | |
Midlands
| Facility | $1,170.01 | $1,708.88 | $3,276.96 | |
Sanford Health Plan
| Professional | $857.41 | $1,234.93 | $1,518.92 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |