| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $683.96 | $683.96 | $3,511.00 | |
Medica
| Facility | $867.35 | $1,112.53 | $1,675.95 | |
Midlands
| Facility | $1,089.00 | $1,666.82 | $10,749.04 | |
Sanford Health Plan
| Professional | $726.70 | $1,091.32 | $1,339.73 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |