| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $800.04 | $800.04 | $4,338.00 | |
Medica
| Facility | $912.12 | $1,352.07 | $2,226.02 | |
Midlands
| Facility | $1,307.00 | $2,091.67 | $2,514.28 | |
Sanford Health Plan
| Professional | $987.32 | $1,342.58 | $1,557.74 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |