| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $746.32 | $746.32 | $746.32 | |
Medica
| Facility | $961.99 | $1,240.42 | $1,733.07 | |
Midlands
| Facility | $1,285.00 | $1,785.50 | $4,813.43 | |
Sanford Health Plan
| Professional | $744.50 | $1,127.30 | $1,418.00 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |