| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $397.80 | $397.80 | $397.80 | |
Medica
| Facility | $517.39 | $672.28 | $998.51 | |
Midlands
| Facility | $733.67 | $1,033.08 | $1,969.98 | |
Sanford Health Plan
| Professional | $472.39 | $649.48 | $787.28 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |