| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $702.85 | $702.85 | $702.85 | |
Medica
| Facility | $576.79 | $880.89 | $1,873.45 | |
Midlands
| Facility | $1,241.75 | $1,543.14 | $2,380.56 | |
Sanford Health Plan
| Professional | $765.52 | $1,119.48 | $1,276.33 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |