| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $667.88 | $667.88 | $3,511.00 | |
Medica
| Facility | $804.41 | $1,070.89 | $1,790.29 | |
Midlands
| Facility | $1,232.97 | $1,793.27 | $2,824.47 | |
Sanford Health Plan
| Professional | $845.90 | $1,145.31 | $1,320.32 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |