| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $399.92 | $399.92 | $399.92 | |
Medica
| Facility | $449.07 | $612.39 | $1,244.25 | |
Midlands
| Facility | $742.35 | $1,078.55 | $1,415.13 | |
Sanford Health Plan
| Professional | $617.27 | $772.80 | $881.08 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |