| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $436.41 | $436.41 | $436.41 | |
Medica
| Facility | $426.04 | $682.27 | $1,106.17 | |
Midlands
| Facility | $731.72 | $1,028.75 | $1,357.76 | |
Sanford Health Plan
| Professional | $588.49 | $731.95 | $834.50 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |