| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $723.85 | $723.85 | $723.85 | |
Medica
| Facility | $871.68 | $1,167.98 | $1,864.76 | |
Midlands
| Facility | $1,228.00 | $1,587.38 | $2,172.23 | |
Sanford Health Plan
| Professional | $806.00 | $1,189.83 | $1,356.55 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |