| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $655.47 | $655.47 | $4,338.00 | |
Medica
| Facility | $675.22 | $1,126.01 | $1,964.90 | |
Midlands
| Facility | $1,078.98 | $1,705.51 | $6,855.77 | |
Sanford Health Plan
| Professional | $847.91 | $1,179.61 | $1,344.91 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |