| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $659.10 | $659.10 | $3,511.00 | |
Medica
| Facility | $633.48 | $1,029.72 | $1,669.48 | |
Midlands
| Facility | $1,231.09 | $1,550.91 | $2,000.16 | |
Sanford Health Plan
| Professional | $858.46 | $1,091.10 | $1,243.99 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |