| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $330.78 | $330.78 | $3,073.00 | |
Medica
| Facility | $400.91 | $541.98 | $821.22 | |
Midlands
| Facility | $608.46 | $843.62 | $1,969.98 | |
Sanford Health Plan
| Professional | $362.83 | $532.67 | $650.13 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |