| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $687.57 | $687.57 | $687.57 | |
Medica
| Facility | $909.32 | $1,161.99 | $1,887.01 | |
Midlands
| Facility | $1,081.24 | $1,610.81 | $2,213.94 | |
Sanford Health Plan
| Professional | $880.56 | $1,213.78 | $1,385.01 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |