| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $475.53 | $475.53 | $475.53 | |
Medica
| Facility | $460.76 | $743.03 | $1,263.23 | |
Midlands
| Facility | $915.73 | $1,112.84 | $1,458.93 | |
Sanford Health Plan
| Professional | $600.26 | $793.23 | $904.37 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |