| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $399.26 | $399.26 | $2,290.00 | |
Medica
| Facility | $387.41 | $612.16 | $1,177.82 | |
Midlands
| Facility | $641.63 | $1,052.86 | $1,487.46 | |
Sanford Health Plan
| Professional | $460.87 | $704.94 | $841.62 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |