| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $801.57 | $801.57 | $801.57 | |
Medica
| Facility | $865.69 | $1,342.09 | $2,301.19 | |
Midlands
| Facility | $1,326.08 | $1,997.19 | $2,734.34 | |
Sanford Health Plan
| Professional | $1,003.67 | $1,478.93 | $1,736.28 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |