| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $641.07 | $641.07 | $641.07 | |
Medica
| Facility | $849.93 | $1,084.66 | $1,796.13 | |
Midlands
| Facility | $1,023.39 | $1,526.42 | $2,076.29 | |
Sanford Health Plan
| Professional | $826.55 | $1,152.39 | $1,313.85 | |
United
| Facility | $6,571.00 | $6,571.00 | $6,571.00 |