| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $439.20 | $439.20 | $439.20 | |
Medica
| Facility | $536.99 | $742.25 | $1,281.61 | |
Midlands
| Facility | $717.22 | $1,145.83 | $1,534.02 | |
Sanford Health Plan
| Professional | $637.03 | $852.80 | $972.29 | |
Sanford Health Plan
| Professional | AS | $189.56 | $189.56 | $189.56 |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |