| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $859.36 | $859.36 | $859.36 | |
Medica
| Facility | $1,122.98 | $1,561.41 | $2,170.65 | |
Midlands
| Facility | $1,469.11 | $2,556.23 | $2,809.26 | |
Sanford Health Plan
| Professional | $1,109.61 | $2,040.68 | $2,400.65 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |