| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $788.78 | $788.78 | $788.78 | |
Medica
| Facility | $854.62 | $1,333.04 | $2,275.80 | |
Midlands
| Facility | $1,302.04 | $1,961.45 | $2,736.40 | |
Sanford Health Plan
| Professional | $978.98 | $1,465.59 | $1,714.29 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |