| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $440.44 | $440.44 | $440.44 | |
Medica
| Facility | $573.84 | $744.34 | $1,123.57 | |
Midlands
| Facility | $811.17 | $1,148.84 | $3,711.03 | |
Sanford Health Plan
| Professional | $531.16 | $730.30 | $871.37 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |