| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $890.22 | $890.22 | $890.22 | |
Medica
| Facility | $1,096.24 | $1,504.47 | $2,627.06 | |
Midlands
| Facility | $1,489.15 | $2,309.55 | $3,032.56 | |
Sanford Health Plan
| Professional | $1,266.26 | $1,692.55 | $1,929.70 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |