| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $218.54 | $943.04 | $943.04 | |
Medica
| Facility | $284.05 | $858.50 | $2,700.05 | |
Midlands
| Facility | $583.12 | $1,647.22 | $2,617.06 | |
Sanford Health Plan
| Professional | $393.73 | $1,342.24 | $1,922.78 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |