| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $222.55 | $450.18 | $450.18 | |
Medica
| Facility | $310.54 | $533.89 | $1,018.35 | |
Midlands
| Facility | $498.53 | $941.04 | $2,824.47 | |
Sanford Health Plan
| Professional | $330.38 | $536.79 | $836.44 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |