| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $675.81 | $675.81 | $675.81 | |
Medica
| Facility | $730.67 | $1,142.11 | $2,000.00 | |
Midlands
| Facility | $1,120.78 | $1,683.70 | $2,335.96 | |
Sanford Health Plan
| Professional | $853.05 | $1,261.34 | $1,465.23 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |