| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $929.01 | $1,209.64 | $1,209.64 | |
Medica
| Facility | $1,198.48 | $1,536.11 | $2,490.50 | |
Midlands
| Facility | $1,547.60 | $2,020.28 | $2,675.95 | |
Sanford Health Plan
| Professional | $1,149.92 | $1,672.72 | $2,114.71 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |