| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $717.69 | $717.69 | $2,290.00 | |
Medica
| Facility | $851.45 | $1,027.64 | $1,352.46 | |
Midlands
| Facility | $784.27 | $1,583.99 | $3,711.03 | |
Sanford Health Plan
| Professional | $642.73 | $1,002.22 | $1,344.26 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |