| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $304.61 | $383.58 | $383.58 | |
Medica
| Facility | $394.69 | $633.72 | $1,021.48 | |
Midlands
| Facility | $723.00 | $985.48 | $2,896.79 | |
Sanford Health Plan
| Professional | $435.43 | $627.49 | $784.04 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |