| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $921.42 | $921.42 | $921.42 | |
Medica
| Facility | $752.52 | $1,143.09 | $2,063.56 | |
Midlands
| Facility | $1,513.76 | $1,853.71 | $2,632.12 | |
Sanford Health Plan
| Professional | $862.77 | $1,289.78 | $1,647.65 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |