| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $505.07 | $505.07 | $9,711.77 | |
Medica
| Facility | $564.54 | $731.03 | $1,344.73 | |
Midlands
| Facility | $846.00 | $1,412.74 | $5,406.84 | |
Sanford Health Plan
| Professional | $593.24 | $913.17 | $1,077.74 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |