| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $787.90 | $787.90 | $787.90 | |
Medica
| Facility | $752.65 | $1,231.64 | $2,029.40 | |
Midlands
| Facility | $1,350.00 | $1,727.31 | $2,365.15 | |
Sanford Health Plan
| Professional | $967.52 | $1,298.78 | $1,480.75 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |