| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $833.49 | $833.49 | $833.49 | |
Medica
| Facility | $806.31 | $1,303.55 | $2,213.21 | |
Midlands
| Facility | $1,604.39 | $1,953.10 | $2,548.69 | |
Sanford Health Plan
| Professional | $1,047.44 | $1,387.86 | $1,582.32 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |