| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $703.75 | $703.75 | $3,073.00 | |
Medica
| Facility | $906.23 | $1,189.33 | $1,971.45 | |
Midlands
| Facility | $1,142.51 | $1,833.71 | $2,291.12 | |
Sanford Health Plan
| Professional | $931.45 | $1,242.21 | $1,448.41 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |