| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $363.00 | $426.98 | $426.98 | |
Medica
| Facility | $376.20 | $654.00 | $1,180.20 | |
Midlands
| Facility | $740.00 | $1,040.69 | $2,389.42 | |
Sanford Health Plan
| Professional | $455.78 | $728.84 | $865.13 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |