| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $634.41 | $634.41 | $634.41 | |
Medica
| Facility | $519.41 | $768.72 | $1,551.02 | |
Midlands
| Facility | $1,112.01 | $1,368.36 | $1,821.47 | |
Sanford Health Plan
| Professional | $634.98 | $969.51 | $1,142.43 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |