| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $400.04 | $544.74 | $544.74 | |
Medica
| Facility | $426.43 | $722.68 | $1,387.61 | |
Midlands
| Facility | $810.32 | $1,295.90 | $2,532.54 | |
Sanford Health Plan
| Professional | $575.74 | $835.15 | $1,077.00 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |