| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $707.89 | $707.89 | $707.89 | |
Medica
| Facility | $843.27 | $1,174.06 | $1,643.38 | |
Midlands
| Facility | $1,271.99 | $1,689.29 | $3,711.03 | |
Sanford Health Plan
| Professional | $706.21 | $1,070.08 | $1,344.26 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |