| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $711.47 | $711.47 | $711.47 | |
Medica
| Facility | $582.85 | $889.12 | $1,769.89 | |
Midlands
| Facility | $1,243.61 | $1,555.99 | $3,942.51 | |
Sanford Health Plan
| Professional | $722.77 | $1,089.34 | $1,281.51 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |