| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $804.58 | $804.58 | $804.58 | |
Medica
| Facility | $920.67 | $1,359.74 | $2,239.05 | |
Midlands
| Facility | $1,321.00 | $2,091.67 | $2,527.81 | |
Sanford Health Plan
| Professional | $992.95 | $1,354.19 | $1,566.79 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |