| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $724.61 | $724.61 | $724.61 | |
Medica
| Facility | $775.66 | $1,224.58 | $2,194.92 | |
Midlands
| Facility | $1,185.85 | $1,785.28 | $2,453.77 | |
Sanford Health Plan
| Professional | $919.52 | $1,323.44 | $1,555.15 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |