| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $964.21 | $964.21 | $964.21 | |
Medica
| Facility | $1,039.88 | $1,629.51 | $2,805.59 | |
Midlands
| Facility | $1,607.75 | $2,416.48 | $3,324.57 | |
Sanford Health Plan
| Professional | $1,219.84 | $1,799.78 | $2,085.61 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |