| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $804.92 | $804.92 | $804.92 | |
Medica
| Facility | $923.47 | $1,360.31 | $2,240.04 | |
Midlands
| Facility | $1,321.00 | $2,091.67 | $2,528.87 | |
Sanford Health Plan
| Professional | $996.84 | $1,353.03 | $1,567.44 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |