| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $969.85 | $969.85 | $969.85 | |
Medica
| Facility | $947.31 | $1,463.24 | $2,804.46 | |
Midlands
| Facility | $1,563.09 | $2,321.65 | $3,145.18 | |
Sanford Health Plan
| Professional | $1,132.56 | $1,674.46 | $1,960.11 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |