| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $429.70 | $429.70 | $429.70 | |
Medica
| Facility | $411.86 | $671.18 | $1,130.94 | |
Midlands
| Facility | $819.84 | $1,003.50 | $1,306.69 | |
Sanford Health Plan
| Professional | $537.55 | $709.82 | $809.27 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |