| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $484.08 | $484.08 | $484.08 | |
Medica
| Facility | $397.42 | $671.64 | $1,769.67 | |
Midlands
| Facility | $988.36 | $1,258.56 | $1,559.14 | |
Sanford Health Plan
| Professional | $611.79 | $834.63 | $1,104.70 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |