| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $844.51 | $844.51 | $3,511.00 | |
Medica
| Facility | $596.54 | $994.83 | $2,188.19 | |
Midlands
| Facility | $1,481.16 | $1,820.53 | $2,125.04 | |
Sanford Health Plan
| Professional | $912.56 | $1,292.81 | $1,520.86 | |
United
| Facility | $2,714.00 | $2,714.00 | $4,561.46 |