| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $965.10 | $965.10 | $965.10 | |
Medica
| Facility | $859.36 | $1,452.32 | $2,714.00 | |
Midlands
| Facility | $1,554.00 | $2,463.80 | $6,855.77 | |
Sanford Health Plan
| Professional | $1,102.69 | $1,676.20 | $1,950.40 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |