| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $780.66 | $780.66 | $3,073.00 | |
Medica
| Facility | $640.07 | $1,032.08 | $1,987.10 | |
Midlands
| Facility | $1,279.72 | $1,652.31 | $2,125.04 | |
Sanford Health Plan
| Professional | $740.10 | $1,167.94 | $1,397.30 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |