| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $563.83 | $563.83 | $563.83 | |
Medica
| Facility | $682.60 | $952.87 | $1,470.34 | |
Midlands
| Facility | $1,041.17 | $1,495.31 | $3,711.03 | |
Sanford Health Plan
| Professional | $693.78 | $953.53 | $1,121.72 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |