| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $989.00 | $989.00 | $989.00 | |
Medica
| Facility | $1,049.38 | $1,671.41 | $2,875.14 | |
Midlands
| Facility | $1,644.98 | $2,473.11 | $3,409.03 | |
Sanford Health Plan
| Professional | $1,240.73 | $1,844.46 | $2,154.17 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |