| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $740.71 | $740.71 | $740.71 | |
Medica
| Facility | $969.08 | $1,251.80 | $1,915.39 | |
Midlands
| Facility | $1,285.00 | $1,827.44 | $8,250.46 | |
Sanford Health Plan
| Professional | $906.12 | $1,248.23 | $1,468.46 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |