| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $372.55 | $562.13 | $562.13 | |
Medica
| Facility | $528.02 | $786.45 | $1,274.24 | |
Midlands
| Facility | $828.14 | $1,164.47 | $3,711.03 | |
Sanford Health Plan
| Professional | $533.41 | $715.47 | $1,035.04 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |