| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $746.11 | $746.11 | $746.11 | |
Medica
| Facility | $612.14 | $879.34 | $1,861.11 | |
Midlands
| Facility | $1,314.44 | $1,539.00 | $1,829.19 | |
Sanford Health Plan
| Professional | $761.37 | $1,149.83 | $1,352.67 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |