| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $768.96 | $768.96 | $768.96 | |
Medica
| Facility | $915.83 | $1,269.90 | $1,803.77 | |
Midlands
| Facility | $1,285.00 | $1,833.75 | $3,711.03 | |
Sanford Health Plan
| Professional | $766.53 | $1,174.49 | $1,448.41 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |