| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $974.51 | $974.51 | $3,511.00 | |
Medica
| Facility | $793.06 | $1,139.23 | $2,180.83 | |
Midlands
| Facility | $1,510.03 | $1,950.29 | $3,141.50 | |
Sanford Health Plan
| Professional | $909.87 | $1,364.63 | $1,726.58 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |