| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $662.66 | $662.66 | $662.66 | |
Medica
| Facility | $867.07 | $1,119.90 | $1,718.75 | |
Midlands
| Facility | $1,229.02 | $1,641.62 | $8,250.46 | |
Sanford Health Plan
| Professional | $813.92 | $1,119.04 | $1,321.62 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |