| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $413.57 | $568.09 | $568.09 | |
Medica
| Facility | $517.73 | $823.94 | $1,343.52 | |
Midlands
| Facility | $869.00 | $1,346.31 | $2,596.73 | |
Sanford Health Plan
| Professional | $595.05 | $855.20 | $1,113.13 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |