| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $736.14 | $736.14 | $736.14 | |
Medica
| Facility | $980.67 | $1,244.08 | $2,101.56 | |
Midlands
| Facility | $1,218.32 | $2,006.85 | $2,526.78 | |
Sanford Health Plan
| Professional | $983.21 | $1,343.96 | $1,581.02 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |