| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $360.88 | $568.23 | $568.23 | |
Medica
| Facility | $516.79 | $801.47 | $1,299.42 | |
Midlands
| Facility | $816.54 | $1,216.86 | $2,824.47 | |
Sanford Health Plan
| Professional | $531.98 | $720.82 | $1,081.61 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |