| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $453.09 | $453.09 | $453.09 | |
Medica
| Facility | $600.79 | $793.17 | $1,300.74 | |
Midlands
| Facility | $743.52 | $1,219.86 | $1,540.25 | |
Sanford Health Plan
| Professional | $618.28 | $836.40 | $983.93 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |