| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $907.87 | $907.87 | $907.87 | |
Medica
| Facility | $979.58 | $1,496.92 | $2,611.26 | |
Midlands
| Facility | $1,493.06 | $2,244.67 | $3,132.68 | |
Sanford Health Plan
| Professional | $1,125.70 | $1,679.10 | $1,964.64 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |