| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $459.19 | $459.19 | $3,511.00 | |
Medica
| Facility | $556.11 | $773.97 | $1,151.64 | |
Midlands
| Facility | $844.25 | $1,124.28 | $1,969.98 | |
Sanford Health Plan
| Professional | $538.59 | $746.81 | $906.31 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |