| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $552.57 | $552.57 | $552.57 | |
Medica
| Facility | $566.82 | $789.35 | $1,490.93 | |
Midlands
| Facility | $842.01 | $1,498.01 | $2,197.38 | |
Sanford Health Plan
| Professional | $613.11 | $951.33 | $1,119.14 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |