| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $526.83 | $723.87 | $723.87 | |
Medica
| Facility | $743.06 | $1,021.96 | $1,647.23 | |
Midlands
| Facility | $1,058.84 | $1,540.01 | $2,020.28 | |
Sanford Health Plan
| Professional | $727.56 | $1,038.27 | $1,368.84 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |