| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $351.41 | $555.91 | $555.91 | |
Medica
| Facility | $494.60 | $799.32 | $1,393.84 | |
Midlands
| Facility | $853.79 | $1,141.92 | $3,743.08 | |
Sanford Health Plan
| Professional | $500.15 | $761.19 | $1,057.11 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |