| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $901.31 | $901.31 | $901.31 | |
Medica
| Facility | $1,122.05 | $1,517.51 | $2,506.66 | |
Midlands
| Facility | $1,415.31 | $2,355.73 | $3,067.99 | |
Sanford Health Plan
| Professional | $1,236.43 | $1,678.84 | $1,974.99 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |