| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $773.39 | $773.39 | $3,073.00 | |
Medica
| Facility | $772.85 | $1,307.03 | $2,226.23 | |
Midlands
| Facility | $1,260.28 | $1,960.16 | $6,855.77 | |
Sanford Health Plan
| Professional | $985.97 | $1,333.30 | $1,547.38 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |