| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $406.82 | $406.82 | $406.82 | |
Medica
| Facility | $466.65 | $640.30 | $1,008.03 | |
Midlands
| Facility | $654.00 | $864.71 | $1,203.44 | |
Sanford Health Plan
| Professional | $479.26 | $648.08 | $758.17 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |