| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $663.61 | $663.61 | $663.61 | |
Medica
| Facility | $664.00 | $1,121.50 | $1,686.72 | |
Midlands
| Facility | $1,135.00 | $1,509.15 | $2,930.75 | |
Sanford Health Plan
| Professional | $700.81 | $1,068.98 | $1,218.76 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |