| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.84 | $360.02 | $552.08 | |
Medica
| Facility | $512.19 | $793.48 | $1,269.84 | |
Midlands
| Facility | $833.84 | $1,184.84 | $3,711.03 | |
Sanford Health Plan
| Professional | $531.98 | $713.53 | $1,053.15 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |