| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $443.40 | $760.43 | $760.43 | |
Medica
| Facility | $640.66 | $1,038.71 | $1,733.82 | |
Midlands
| Facility | $1,061.86 | $1,529.02 | $2,229.08 | |
Sanford Health Plan
| Professional | $703.68 | $997.49 | $1,479.46 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |