| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $896.13 | $896.13 | $896.13 | |
Medica
| Facility | $733.50 | $1,119.55 | $2,209.21 | |
Midlands
| Facility | $1,575.39 | $1,821.47 | $2,188.19 | |
Sanford Health Plan
| Professional | $903.26 | $1,372.55 | $1,614.66 | |
United
| Facility | $2,714.00 | $2,714.00 | $4,561.46 |