| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.28 | $642.99 | $642.99 | |
Medica
| Facility | $104.53 | $551.23 | $1,857.38 | |
Midlands
| Facility | $215.64 | $1,094.58 | $1,790.27 | |
Sanford Health Plan
| Professional | $142.97 | $884.40 | $1,200.43 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |