| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $581.80 | $581.80 | $581.80 | |
Medica
| Facility | $704.23 | $895.46 | $1,485.75 | |
Midlands
| Facility | $1,058.13 | $1,426.38 | $3,711.03 | |
Sanford Health Plan
| Professional | $629.80 | $965.08 | $1,148.89 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |