| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $463.95 | $463.95 | $2,290.00 | |
Medica
| Facility | $377.96 | $571.33 | $1,035.60 | |
Midlands
| Facility | $802.95 | $907.60 | $1,821.47 | |
Sanford Health Plan
| Professional | $422.69 | $635.90 | $818.98 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |