| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $827.45 | $827.45 | $3,073.00 | |
Medica
| Facility | $981.08 | $1,398.39 | $2,196.84 | |
Midlands
| Facility | $1,363.00 | $2,215.13 | $4,968.71 | |
Sanford Health Plan
| Professional | $965.74 | $1,409.89 | $1,637.30 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |