| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $668.65 | $668.65 | $668.65 | |
Medica
| Facility | $885.46 | $1,156.01 | $1,884.32 | |
Midlands
| Facility | $1,073.34 | $1,596.36 | $2,171.17 | |
Sanford Health Plan
| Professional | $870.52 | $1,190.41 | $1,357.20 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |