| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $727.49 | $727.49 | $727.49 | |
Medica
| Facility | $598.29 | $911.61 | $1,851.55 | |
Midlands
| Facility | $1,287.75 | $1,539.00 | $1,795.50 | |
Sanford Health Plan
| Professional | $755.31 | $1,142.59 | $1,319.03 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |