| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $637.66 | $637.66 | $637.66 | |
Medica
| Facility | $743.76 | $1,077.66 | $1,626.11 | |
Midlands
| Facility | $1,163.00 | $1,594.93 | $2,860.34 | |
Sanford Health Plan
| Professional | $757.10 | $1,018.83 | $1,182.53 | |
United
| Facility | $2,714.00 | $2,714.00 | $7,373.90 |