| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $428.55 | $476.21 | $476.21 | |
Medica
| Facility | $574.65 | $726.55 | $1,076.45 | |
Midlands
| Facility | $675.51 | $1,051.06 | $1,969.98 | |
Sanford Health Plan
| Professional | $478.49 | $754.84 | $931.54 | |
United
| Facility | $821.00 | $821.00 | $821.00 |