| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $738.42 | $738.42 | $738.42 | |
Medica
| Facility | $967.12 | $1,247.93 | $1,924.09 | |
Midlands
| Facility | $1,285.00 | $1,823.23 | $19,757.46 | |
Sanford Health Plan
| Professional | $908.70 | $1,249.92 | $1,470.40 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |