| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $280.52 | $280.52 | $12,894.00 | |
Medica
| Facility | $292.52 | $522.24 | $990.46 | |
Midlands
| Facility | $478.08 | $796.11 | $1,487.46 | |
Sanford Health Plan
| Professional | $385.33 | $508.96 | $622.54 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |