| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $574.44 | $574.44 | $3,511.00 | |
Medica
| Facility | $550.58 | $970.80 | $1,623.12 | |
Midlands
| Facility | $918.22 | $1,450.02 | $6,855.77 | |
Sanford Health Plan
| Professional | $643.67 | $973.00 | $1,145.01 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |