| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $705.22 | $705.22 | $705.22 | |
Medica
| Facility | $757.46 | $1,191.82 | $2,000.00 | |
Midlands
| Facility | $1,144.38 | $1,724.95 | $2,397.48 | |
Sanford Health Plan
| Professional | $914.55 | $1,284.56 | $1,518.92 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |