| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $627.02 | $863.47 | $863.47 | |
Medica
| Facility | $513.21 | $934.93 | $1,965.07 | |
Midlands
| Facility | $1,176.05 | $1,539.00 | $2,074.90 | |
Sanford Health Plan
| Professional | $777.67 | $1,133.36 | $1,518.92 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |