| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $611.77 | $611.77 | $611.77 | |
Medica
| Facility | $797.57 | $1,051.40 | $1,558.26 | |
Midlands
| Facility | $1,128.11 | $1,583.01 | $3,711.03 | |
Sanford Health Plan
| Professional | $735.41 | $1,011.09 | $1,210.34 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |