| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $602.26 | $602.26 | $2,966.66 | |
Medica
| Facility | $729.50 | $927.76 | $1,549.82 | |
Midlands
| Facility | $1,085.53 | $1,478.94 | $3,711.03 | |
Sanford Health Plan
| Professional | $655.40 | $1,007.55 | $1,190.30 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |