| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $357.22 | $357.22 | $3,073.00 | |
Medica
| Facility | $448.00 | $602.79 | $897.98 | |
Midlands
| Facility | $655.84 | $928.09 | $1,664.46 | |
Sanford Health Plan
| Professional | $424.33 | $583.41 | $703.18 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |