| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $447.24 | $447.24 | $2,290.00 | |
Medica
| Facility | $542.94 | $681.74 | $1,077.25 | |
Midlands
| Facility | $818.40 | $1,114.08 | $1,969.98 | |
Sanford Health Plan
| Professional | $456.90 | $701.98 | $846.15 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |