| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $897.33 | $897.33 | $897.33 | |
Medica
| Facility | $735.83 | $1,217.74 | $2,243.00 | |
Midlands
| Facility | $1,581.42 | $1,965.26 | $2,823.00 | |
Sanford Health Plan
| Professional | $916.51 | $1,380.26 | $1,621.78 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |