| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $563.80 | $563.80 | $3,073.00 | |
Medica
| Facility | $678.62 | $912.44 | $1,123.96 | |
Midlands
| Facility | $895.65 | $1,242.50 | $3,711.03 | |
Sanford Health Plan
| Professional | $532.03 | $829.07 | $1,112.02 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |