| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $547.39 | $547.39 | $547.39 | |
Medica
| Facility | $541.00 | $856.39 | $1,351.72 | |
Midlands
| Facility | $800.00 | $1,174.53 | $1,661.25 | |
Sanford Health Plan
| Professional | $607.72 | $854.54 | $1,005.28 | |
United
| Facility | $1,643.00 | $1,643.00 | $1,643.00 |