| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $466.02 | $466.02 | $466.02 | |
Medica
| Facility | $569.48 | $787.57 | $1,505.75 | |
Midlands
| Facility | $954.14 | $1,151.55 | $1,343.18 | |
Sanford Health Plan
| Professional | $620.59 | $743.86 | $961.97 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |