| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $559.46 | $559.46 | $3,511.00 | |
Medica
| Facility | $678.70 | $945.49 | $1,513.54 | |
Midlands
| Facility | $1,040.33 | $1,397.19 | $3,711.03 | |
Sanford Health Plan
| Professional | $684.19 | $973.58 | $1,131.43 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |