| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.56 | $275.56 | $3,073.00 | |
Medica
| Facility | $286.99 | $488.11 | $841.89 | |
Midlands
| Facility | $470.79 | $748.91 | $2,030.75 | |
Sanford Health Plan
| Professional | $379.27 | $499.31 | $569.27 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |