| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $542.40 | $542.40 | $542.40 | |
Medica
| Facility | $656.71 | $837.87 | $1,399.53 | |
Midlands
| Facility | $929.91 | $1,419.01 | $3,711.03 | |
Sanford Health Plan
| Professional | $659.89 | $907.27 | $1,073.84 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |