| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $750.06 | $750.06 | $750.06 | |
Medica
| Facility | $824.94 | $1,267.59 | $2,303.06 | |
Midlands
| Facility | $1,250.43 | $1,881.14 | $2,608.13 | |
Sanford Health Plan
| Professional | $940.60 | $1,401.76 | $1,654.77 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |