| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $910.69 | $910.69 | $3,073.00 | |
Medica
| Facility | $878.42 | $1,505.71 | $2,495.30 | |
Midlands
| Facility | $1,430.00 | $2,331.83 | $5,269.25 | |
Sanford Health Plan
| Professional | $1,001.39 | $1,488.03 | $1,750.51 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |