| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $459.74 | $459.74 | $3,073.00 | |
Medica
| Facility | $467.59 | $740.02 | $1,325.48 | |
Midlands
| Facility | $718.96 | $1,196.34 | $3,285.23 | |
Sanford Health Plan
| Professional | $588.66 | $796.03 | $961.94 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |