| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $990.18 | $990.18 | $990.18 | |
Medica
| Facility | $1,225.36 | $1,531.03 | $2,674.27 | |
Midlands
| Facility | $1,549.42 | $2,266.92 | $2,758.13 | |
Sanford Health Plan
| Professional | $1,263.14 | $1,685.75 | $1,981.57 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |