| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $506.23 | $506.23 | $4,338.00 | |
Medica
| Facility | $660.00 | $855.53 | $1,299.33 | |
Midlands
| Facility | $932.36 | $1,328.36 | $3,711.03 | |
Sanford Health Plan
| Professional | $607.54 | $841.79 | $1,001.40 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |