| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $762.88 | $762.88 | $762.88 | |
Medica
| Facility | $870.84 | $1,234.40 | $1,966.59 | |
Midlands
| Facility | $1,202.00 | $1,628.54 | $2,245.19 | |
Sanford Health Plan
| Professional | $804.53 | $1,234.09 | $1,407.01 | |
United
| Facility | $1,643.00 | $1,643.00 | $1,643.00 |