| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $425.82 | $425.82 | $2,290.00 | |
Medica
| Facility | $554.23 | $719.64 | $1,097.01 | |
Midlands
| Facility | $646.00 | $1,041.00 | $3,711.03 | |
Sanford Health Plan
| Professional | $518.72 | $711.02 | $836.44 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |