| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $428.02 | $428.02 | $3,073.00 | |
Medica
| Facility | $519.85 | $723.35 | $1,095.10 | |
Midlands
| Facility | $750.00 | $1,010.89 | $1,471.64 | |
Sanford Health Plan
| Professional | $513.34 | $687.69 | $784.04 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |