| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $784.96 | $784.96 | $784.96 | |
Medica
| Facility | $909.96 | $1,200.76 | $2,033.43 | |
Midlands
| Facility | $1,154.41 | $1,892.33 | $2,439.19 | |
Sanford Health Plan
| Professional | $911.34 | $1,308.93 | $1,521.51 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |