| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $905.72 | $905.72 | $905.72 | |
Medica
| Facility | $1,168.14 | $1,530.67 | $2,567.53 | |
Midlands
| Facility | $1,489.82 | $2,370.58 | $2,941.83 | |
Sanford Health Plan
| Professional | $1,206.58 | $1,606.57 | $1,868.89 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |