| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $421.42 | $639.44 | $639.44 | |
Medica
| Facility | $594.25 | $904.42 | $1,466.34 | |
Midlands
| Facility | $942.87 | $1,387.91 | $2,824.47 | |
Sanford Health Plan
| Professional | $621.48 | $847.44 | $1,233.64 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |