| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $654.54 | $654.54 | $654.54 | |
Medica
| Facility | $706.04 | $1,185.14 | $2,002.22 | |
Midlands
| Facility | $1,078.03 | $1,742.12 | $3,960.15 | |
Sanford Health Plan
| Professional | $887.56 | $1,212.04 | $1,416.06 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |