| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $520.01 | $520.01 | $520.01 | |
Medica
| Facility | $651.57 | $840.11 | $1,528.74 | |
Midlands
| Facility | $876.39 | $1,295.91 | $1,750.92 | |
Sanford Health Plan
| Professional | $676.70 | $959.47 | $1,093.91 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |