| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $515.71 | $515.71 | $3,073.00 | |
Medica
| Facility | $668.96 | $871.55 | $1,308.40 | |
Midlands
| Facility | $950.61 | $1,266.75 | $1,969.98 | |
Sanford Health Plan
| Professional | $612.75 | $849.46 | $1,017.57 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |