| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $599.36 | $835.84 | $835.84 | |
Medica
| Facility | $775.18 | $1,261.94 | $2,153.36 | |
Midlands
| Facility | $1,302.00 | $1,955.32 | $5,105.35 | |
Sanford Health Plan
| Professional | $883.44 | $1,244.33 | $1,669.00 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |