| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.72 | $416.72 | $3,511.00 | |
Medica
| Facility | $504.60 | $704.26 | $1,054.61 | |
Midlands
| Facility | $766.34 | $1,084.23 | $1,969.98 | |
Sanford Health Plan
| Professional | $451.56 | $684.28 | $818.98 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |