| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $676.99 | $676.99 | $676.99 | |
Medica
| Facility | $554.63 | $796.73 | $1,651.73 | |
Midlands
| Facility | $1,186.93 | $1,460.99 | $1,920.91 | |
Sanford Health Plan
| Professional | $678.11 | $1,032.76 | $1,216.82 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |