| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $842.56 | $842.56 | $842.56 | |
Medica
| Facility | $1,030.30 | $1,318.99 | $2,333.46 | |
Midlands
| Facility | $1,309.98 | $2,154.88 | $2,809.39 | |
Sanford Health Plan
| Professional | $1,125.72 | $1,561.90 | $1,806.14 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |