| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $992.81 | $992.81 | $992.81 | |
Medica
| Facility | $813.85 | $1,169.09 | $2,452.55 | |
Midlands
| Facility | $1,747.89 | $2,163.19 | $3,942.51 | |
Sanford Health Plan
| Professional | $1,002.04 | $1,524.32 | $1,793.21 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |