| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $578.96 | $578.96 | $578.96 | |
Medica
| Facility | $476.35 | $721.81 | $1,426.68 | |
Midlands
| Facility | $1,021.31 | $1,258.41 | $1,821.47 | |
Sanford Health Plan
| Professional | $583.51 | $892.49 | $1,049.92 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |