| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $751.98 | $751.98 | $751.98 | |
Medica
| Facility | $617.83 | $939.04 | $1,873.18 | |
Midlands
| Facility | $1,326.31 | $1,644.58 | $2,125.04 | |
Sanford Health Plan
| Professional | $762.50 | $1,156.99 | $1,361.08 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |