| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $805.04 | $805.04 | $805.04 | |
Medica
| Facility | $957.74 | $1,360.52 | $2,142.54 | |
Midlands
| Facility | $1,240.19 | $1,985.91 | $2,467.34 | |
Sanford Health Plan
| Professional | $1,010.06 | $1,349.55 | $1,568.73 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |