| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $712.64 | $712.64 | $712.64 | |
Medica
| Facility | $933.49 | $1,174.13 | $1,857.83 | |
Midlands
| Facility | $1,285.00 | $1,763.67 | $3,711.03 | |
Sanford Health Plan
| Professional | $877.42 | $1,206.34 | $1,421.24 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |