| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $179.10 | $887.52 | $887.52 | |
Medica
| Facility | $230.79 | $785.53 | $2,253.65 | |
Midlands
| Facility | $469.37 | $1,220.35 | $2,858.43 | |
Sanford Health Plan
| Professional | $314.54 | $1,143.94 | $1,647.65 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |