| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $644.14 | $644.14 | $2,290.00 | |
Medica
| Facility | $691.60 | $1,068.94 | $1,971.39 | |
Midlands
| Facility | $1,061.81 | $1,710.69 | $4,408.14 | |
Sanford Health Plan
| Professional | $803.48 | $1,196.36 | $1,386.95 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |