| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $408.27 | $408.27 | $408.27 | |
Medica
| Facility | $495.05 | $665.00 | $1,009.58 | |
Midlands
| Facility | $750.07 | $1,046.71 | $1,969.98 | |
Sanford Health Plan
| Professional | $426.88 | $656.56 | $803.45 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |