| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.25 | $760.25 | $3,511.00 | |
Medica
| Facility | $623.24 | $951.46 | $1,906.40 | |
Midlands
| Facility | $1,340.26 | $1,553.11 | $1,863.30 | |
Sanford Health Plan
| Professional | $778.76 | $1,181.28 | $1,380.48 | |
United
| Facility | $2,714.00 | $2,714.00 | $4,665.92 |