| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,170.80 | $1,170.80 | $1,170.80 | |
Medica
| Facility | $959.46 | $1,459.79 | $2,921.27 | |
Midlands
| Facility | $1,980.59 | $2,563.89 | $3,942.51 | |
Sanford Health Plan
| Professional | $1,194.64 | $1,797.07 | $2,114.07 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |