| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $545.04 | $545.04 | $3,073.00 | |
Medica
| Facility | $659.90 | $843.38 | $1,406.84 | |
Midlands
| Facility | $953.00 | $1,345.71 | $2,824.47 | |
Sanford Health Plan
| Professional | $576.55 | $917.88 | $1,086.79 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |