| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $508.26 | $565.16 | $565.16 | |
Medica
| Facility | $686.10 | $863.05 | $1,304.54 | |
Midlands
| Facility | $953.00 | $1,256.89 | $1,969.98 | |
Sanford Health Plan
| Professional | $570.32 | $917.88 | $1,115.90 | |
United
| Facility | $821.00 | $821.00 | $821.00 |