| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $787.75 | $787.75 | $787.75 | |
Medica
| Facility | $1,076.16 | $1,320.87 | $2,219.78 | |
Midlands
| Facility | $1,268.72 | $2,047.05 | $2,645.67 | |
Sanford Health Plan
| Professional | $1,057.72 | $1,427.29 | $1,657.36 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |