| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $797.38 | $797.38 | $797.38 | |
Medica
| Facility | $1,091.19 | $1,336.42 | $2,266.36 | |
Midlands
| Facility | $1,295.08 | $2,076.00 | $2,672.79 | |
Sanford Health Plan
| Professional | $1,083.11 | $1,459.78 | $1,676.76 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |