| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $469.88 | $469.88 | $3,511.00 | |
Medica
| Facility | $562.85 | $738.23 | $998.64 | |
Midlands
| Facility | $801.41 | $1,089.00 | $1,969.98 | |
Sanford Health Plan
| Professional | $464.93 | $662.20 | $888.19 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |