| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $635.92 | $635.92 | $635.92 | |
Medica
| Facility | $796.61 | $1,028.78 | $1,850.05 | |
Midlands
| Facility | $1,063.94 | $1,598.85 | $2,158.67 | |
Sanford Health Plan
| Professional | $852.24 | $1,166.02 | $1,352.02 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |