| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $517.95 | $517.95 | $517.95 | |
Medica
| Facility | $582.65 | $756.09 | $1,381.73 | |
Midlands
| Facility | $800.67 | $1,362.58 | $1,762.41 | |
Sanford Health Plan
| Professional | $696.28 | $968.37 | $1,139.19 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |