| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $589.37 | $722.14 | $722.14 | |
Medica
| Facility | $503.58 | $841.83 | $1,613.01 | |
Midlands
| Facility | $1,197.95 | $1,441.04 | $2,051.23 | |
Sanford Health Plan
| Professional | $673.34 | $1,061.63 | $1,280.85 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |