| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $734.86 | $734.86 | $3,073.00 | |
Medica
| Facility | $761.06 | $1,117.31 | $2,234.89 | |
Midlands
| Facility | $1,448.80 | $1,933.23 | $2,440.25 | |
Sanford Health Plan
| Professional | $971.75 | $1,337.36 | $1,524.74 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |