| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $593.65 | $795.32 | $795.32 | |
Medica
| Facility | $831.35 | $1,067.31 | $1,798.65 | |
Midlands
| Facility | $1,152.83 | $1,558.24 | $3,711.03 | |
Sanford Health Plan
| Professional | $789.57 | $1,024.69 | $1,322.26 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |