| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $179.10 | $3,073.00 | $8,874.39 | |
Medica
| Facility | $230.79 | $785.83 | $2,256.35 | |
Midlands
| Facility | $469.37 | $1,311.70 | $2,356.19 | |
Sanford Health Plan
| Professional | $313.99 | $1,144.35 | $1,648.30 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |