| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $528.87 | $528.87 | $528.87 | |
Medica
| Facility | $701.09 | $893.79 | $1,451.69 | |
Midlands
| Facility | $832.84 | $1,239.57 | $1,627.86 | |
Sanford Health Plan
| Professional | $665.57 | $907.27 | $1,034.39 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |