| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $496.56 | $555.24 | $3,073.00 | |
Medica
| Facility | $673.45 | $853.51 | $1,288.50 | |
Midlands
| Facility | $953.00 | $1,240.16 | $1,969.98 | |
Sanford Health Plan
| Professional | $649.70 | $907.43 | $1,102.32 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |