| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $577.22 | $577.22 | $577.22 | |
Medica
| Facility | $766.81 | $975.50 | $1,780.18 | |
Midlands
| Facility | $993.42 | $1,585.07 | $1,952.19 | |
Sanford Health Plan
| Professional | $801.36 | $1,064.67 | $1,247.22 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |