| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.57 | $709.78 | $709.78 | |
Medica
| Facility | $59.72 | $636.65 | $1,872.07 | |
Midlands
| Facility | $123.15 | $1,105.78 | $1,869.34 | |
Sanford Health Plan
| Professional | $82.49 | $923.99 | $1,333.91 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |