| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $770.20 | $770.20 | $3,073.00 | |
Medica
| Facility | $623.51 | $918.71 | $1,714.61 | |
Midlands
| Facility | $1,142.78 | $1,496.25 | $2,125.04 | |
Sanford Health Plan
| Professional | $717.39 | $1,044.94 | $1,274.89 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |