| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $750.08 | $750.08 | $750.08 | |
Medica
| Facility | $787.06 | $1,267.64 | $2,123.48 | |
Midlands
| Facility | $1,218.29 | $1,836.02 | $2,554.94 | |
Sanford Health Plan
| Professional | $921.85 | $1,365.79 | $1,621.13 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |