| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $888.66 | $888.66 | $888.66 | |
Medica
| Facility | $729.01 | $1,047.22 | $2,222.44 | |
Midlands
| Facility | $1,566.22 | $1,946.37 | $3,141.50 | |
Sanford Health Plan
| Professional | $907.81 | $1,367.12 | $1,606.90 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |