| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $494.55 | $494.55 | $494.55 | |
Medica
| Facility | $519.12 | $893.74 | $1,465.60 | |
Midlands
| Facility | $791.14 | $1,298.60 | $6,855.77 | |
Sanford Health Plan
| Professional | $635.62 | $874.89 | $1,029.22 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |