| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $696.48 | $696.48 | $696.48 | |
Medica
| Facility | $872.81 | $1,128.64 | $2,044.86 | |
Midlands
| Facility | $1,167.57 | $1,750.52 | $2,392.27 | |
Sanford Health Plan
| Professional | $921.82 | $1,295.14 | $1,489.16 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |