| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.26 | $485.16 | $485.16 | |
Medica
| Facility | $398.77 | $696.77 | $1,354.23 | |
Midlands
| Facility | $652.84 | $894.00 | $1,341.79 | |
Sanford Health Plan
| Professional | $491.49 | $721.52 | $967.76 | |
United
| Facility | $1,643.00 | $1,643.00 | $1,643.00 |