| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $720.98 | $720.98 | $4,338.00 | |
Medica
| Facility | $708.58 | $1,084.96 | $1,680.98 | |
Midlands
| Facility | $1,013.00 | $1,674.34 | $2,440.29 | |
Sanford Health Plan
| Professional | $766.30 | $1,060.08 | $1,297.68 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |