| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $708.69 | $708.69 | $708.69 | |
Medica
| Facility | $769.55 | $1,197.69 | $2,047.25 | |
Midlands
| Facility | $1,175.23 | $1,762.12 | $2,449.63 | |
Sanford Health Plan
| Professional | $888.95 | $1,315.89 | $1,543.50 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |