| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $274.86 | $451.60 | $451.60 | |
Medica
| Facility | $373.73 | $594.03 | $1,062.52 | |
Midlands
| Facility | $613.64 | $950.05 | $2,197.38 | |
Sanford Health Plan
| Professional | $422.49 | $597.99 | $881.08 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |