| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $960.23 | $960.23 | $960.23 | |
Medica
| Facility | $927.13 | $1,622.79 | $2,567.69 | |
Midlands
| Facility | $1,755.00 | $2,143.79 | $2,943.91 | |
Sanford Health Plan
| Professional | $1,173.88 | $1,595.53 | $1,819.08 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |