| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $578.73 | $578.73 | $578.73 | |
Medica
| Facility | $611.55 | $978.05 | $1,777.10 | |
Midlands
| Facility | $956.84 | $1,440.28 | $2,000.16 | |
Sanford Health Plan
| Professional | $784.86 | $1,076.84 | $1,256.28 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |