| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $526.32 | $526.32 | $526.32 | |
Medica
| Facility | $549.55 | $805.85 | $1,537.40 | |
Midlands
| Facility | $833.05 | $1,376.40 | $3,285.23 | |
Sanford Health Plan
| Professional | $622.15 | $920.20 | $1,101.02 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |