| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $262.01 | $408.67 | $408.67 | |
Medica
| Facility | $340.00 | $580.89 | $1,038.31 | |
Midlands
| Facility | $574.51 | $771.48 | $1,067.61 | |
Sanford Health Plan
| Professional | $396.93 | $553.94 | $800.86 | |
United
| Facility | $821.00 | $821.00 | $821.00 |