| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $212.57 | $631.26 | $631.26 | |
Medica
| Facility | $275.98 | $648.64 | $1,289.94 | |
Midlands
| Facility | $563.38 | $1,107.68 | $1,776.78 | |
Sanford Health Plan
| Professional | $373.93 | $823.88 | $1,200.00 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |