| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $680.20 | $680.20 | $3,511.00 | |
Medica
| Facility | $807.11 | $1,116.92 | $1,572.61 | |
Midlands
| Facility | $1,089.00 | $1,467.01 | $2,020.28 | |
Sanford Health Plan
| Professional | $673.00 | $1,025.83 | $1,270.51 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |