| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $615.04 | $615.04 | $3,511.00 | |
Medica
| Facility | $735.48 | $919.34 | $1,614.54 | |
Midlands
| Facility | $939.72 | $1,526.18 | $2,824.47 | |
Sanford Health Plan
| Professional | $636.05 | $1,047.56 | $1,232.33 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |