| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $625.47 | $625.47 | $625.47 | |
Medica
| Facility | $826.00 | $1,057.04 | $1,731.55 | |
Midlands
| Facility | $986.14 | $1,469.65 | $2,014.75 | |
Sanford Health Plan
| Professional | $804.36 | $1,109.83 | $1,265.33 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |