| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $496.79 | $496.79 | $3,073.00 | |
Medica
| Facility | $648.17 | $848.85 | $1,279.13 | |
Midlands
| Facility | $915.26 | $1,220.59 | $3,711.03 | |
Sanford Health Plan
| Professional | $603.67 | $829.99 | $983.29 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |