| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $377.27 | $502.46 | $502.46 | |
Medica
| Facility | $534.33 | $710.95 | $1,148.22 | |
Midlands
| Facility | $806.73 | $1,029.93 | $1,664.46 | |
Sanford Health Plan
| Professional | $491.49 | $742.08 | $969.70 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |