| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $577.54 | $577.54 | $577.54 | |
Medica
| Facility | $768.40 | $976.06 | $1,577.03 | |
Midlands
| Facility | $909.84 | $1,367.47 | $1,865.65 | |
Sanford Health Plan
| Professional | $741.97 | $1,018.83 | $1,168.95 | |
United
| Facility | $821.00 | $821.00 | $821.00 |