| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $610.37 | $610.37 | $3,511.00 | |
Medica
| Facility | $748.41 | $962.49 | $1,614.83 | |
Midlands
| Facility | $956.00 | $1,534.41 | $2,197.38 | |
Sanford Health Plan
| Professional | $664.54 | $1,015.22 | $1,251.75 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |