| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $779.51 | $779.51 | $4,338.00 | |
Medica
| Facility | $820.89 | $1,355.33 | $2,269.76 | |
Midlands
| Facility | $1,300.28 | $1,953.74 | $2,654.03 | |
Sanford Health Plan
| Professional | $975.79 | $1,442.90 | $1,645.07 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |