| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $638.83 | $638.83 | $638.83 | |
Medica
| Facility | $648.66 | $994.91 | $1,497.08 | |
Midlands
| Facility | $929.00 | $1,550.36 | $5,269.25 | |
Sanford Health Plan
| Professional | $703.66 | $980.12 | $1,161.19 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |