| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $598.29 | $760.15 | $760.15 | |
Medica
| Facility | $523.49 | $858.76 | $1,694.53 | |
Midlands
| Facility | $1,219.79 | $1,541.15 | $1,868.67 | |
Sanford Health Plan
| Professional | $709.26 | $1,084.20 | $1,346.20 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |