| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $495.42 | $495.42 | $495.42 | |
Medica
| Facility | $645.34 | $837.26 | $1,251.01 | |
Midlands
| Facility | $910.46 | $1,285.00 | $3,711.03 | |
Sanford Health Plan
| Professional | $590.38 | $811.70 | $978.11 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |