| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $755.05 | $755.05 | $755.05 | |
Medica
| Facility | $725.05 | $1,181.01 | $1,914.77 | |
Midlands
| Facility | $1,266.20 | $1,763.01 | $2,305.69 | |
Sanford Health Plan
| Professional | $1,002.44 | $1,249.41 | $1,424.47 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |