| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $990.15 | $990.15 | $990.15 | |
Medica
| Facility | $1,051.66 | $1,673.35 | $2,855.19 | |
Midlands
| Facility | $1,635.58 | $2,461.07 | $3,363.13 | |
Sanford Health Plan
| Professional | $1,337.80 | $1,825.89 | $2,108.25 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |