| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $710.52 | $710.52 | $710.52 | |
Medica
| Facility | $582.16 | $836.27 | $1,740.46 | |
Midlands
| Facility | $1,246.71 | $1,538.20 | $3,141.50 | |
Sanford Health Plan
| Professional | $713.69 | $1,086.05 | $1,277.63 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |