| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $977.12 | $977.12 | $977.12 | |
Medica
| Facility | $1,191.43 | $1,651.33 | $2,455.46 | |
Midlands
| Facility | $1,640.00 | $2,230.46 | $2,914.71 | |
Sanford Health Plan
| Professional | $1,166.59 | $1,577.56 | $1,822.96 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |