| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $704.33 | $704.33 | $3,511.00 | |
Medica
| Facility | $918.46 | $1,190.32 | $1,911.82 | |
Midlands
| Facility | $1,102.44 | $1,653.85 | $2,229.08 | |
Sanford Health Plan
| Professional | $895.97 | $1,219.68 | $1,434.82 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |