| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $890.74 | $890.74 | $2,290.00 | |
Medica
| Facility | $1,200.00 | $1,505.35 | $2,713.43 | |
Midlands
| Facility | $1,486.29 | $2,350.16 | $2,430.41 | |
Sanford Health Plan
| Professional | $1,294.81 | $1,786.63 | $2,101.78 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |