| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $874.02 | $874.02 | $874.02 | |
Medica
| Facility | $948.48 | $1,477.09 | $2,548.35 | |
Midlands
| Facility | $1,455.75 | $2,192.62 | $3,019.01 | |
Sanford Health Plan
| Professional | $1,108.33 | $1,637.90 | $1,902.53 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |