| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $978.99 | $978.99 | $978.99 | |
Medica
| Facility | $796.87 | $1,144.70 | $2,183.42 | |
Midlands
| Facility | $1,539.00 | $1,795.50 | $2,238.14 | |
Sanford Health Plan
| Professional | $914.28 | $1,300.23 | $1,722.69 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |