| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $538.62 | $538.62 | $3,073.00 | |
Medica
| Facility | $700.00 | $910.27 | $1,399.04 | |
Midlands
| Facility | $953.00 | $1,331.51 | $2,824.47 | |
Sanford Health Plan
| Professional | $649.91 | $914.35 | $1,081.61 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |