| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $580.23 | $580.23 | $580.23 | |
Medica
| Facility | $693.16 | $963.60 | $1,517.92 | |
Midlands
| Facility | $851.96 | $1,423.26 | $1,760.30 | |
Sanford Health Plan
| Professional | $652.72 | $958.37 | $1,138.54 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |