| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $218.37 | $506.10 | $506.10 | |
Medica
| Facility | $278.58 | $634.09 | $1,369.68 | |
Midlands
| Facility | $578.42 | $1,088.78 | $1,637.25 | |
Sanford Health Plan
| Professional | $336.16 | $658.22 | $967.76 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |