| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $179.04 | $555.91 | $555.91 | |
Medica
| Facility | $208.85 | $529.37 | $1,511.76 | |
Midlands
| Facility | $429.44 | $1,127.58 | $1,625.77 | |
Sanford Health Plan
| Professional | $285.95 | $717.18 | $977.06 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |