| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $851.03 | $851.03 | $851.03 | |
Medica
| Facility | $1,057.38 | $1,344.75 | $2,308.59 | |
Midlands
| Facility | $1,471.64 | $1,959.23 | $2,388.37 | |
Sanford Health Plan
| Professional | $1,091.52 | $1,476.03 | $1,741.45 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |