| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.77 | $570.04 | $570.04 | |
Medica
| Facility | $109.27 | $694.55 | $1,388.87 | |
Midlands
| Facility | $202.75 | $1,174.61 | $1,781.96 | |
Sanford Health Plan
| Professional | $134.18 | $759.14 | $1,018.22 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |