| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $926.20 | $926.20 | $926.20 | |
Medica
| Facility | $896.33 | $1,565.28 | $2,515.02 | |
Midlands
| Facility | $1,511.20 | $2,227.00 | $2,983.54 | |
Sanford Health Plan
| Professional | $1,096.91 | $1,604.83 | $1,862.43 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |