| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $692.10 | $692.10 | $692.10 | |
Medica
| Facility | $818.50 | $1,169.65 | $1,837.65 | |
Midlands
| Facility | $1,050.02 | $1,698.45 | $2,187.86 | |
Sanford Health Plan
| Professional | $872.70 | $1,180.13 | $1,375.31 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |