| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $683.65 | $683.65 | $4,338.00 | |
Medica
| Facility | $559.69 | $852.61 | $1,676.82 | |
Midlands
| Facility | $1,200.49 | $1,477.04 | $1,944.90 | |
Sanford Health Plan
| Professional | $684.55 | $1,045.35 | $1,229.76 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |