| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $533.73 | $533.73 | $3,073.00 | |
Medica
| Facility | $503.67 | $807.53 | $1,585.90 | |
Midlands
| Facility | $859.73 | $1,391.56 | $3,285.23 | |
Sanford Health Plan
| Professional | $618.38 | $953.85 | $1,127.55 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |