| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $963.92 | $963.92 | $963.92 | |
Medica
| Facility | $1,048.33 | $1,649.70 | $2,787.69 | |
Midlands
| Facility | $1,593.68 | $2,403.59 | $3,355.84 | |
Sanford Health Plan
| Professional | $1,324.50 | $1,791.08 | $2,103.07 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |