| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $334.20 | $334.20 | $2,290.00 | |
Medica
| Facility | $404.27 | $550.37 | $831.69 | |
Midlands
| Facility | $612.50 | $815.15 | $1,969.98 | |
Sanford Health Plan
| Professional | $378.41 | $540.94 | $655.96 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |