| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $362.44 | $542.41 | $542.41 | |
Medica
| Facility | $518.54 | $766.06 | $1,242.01 | |
Midlands
| Facility | $812.51 | $1,223.40 | $2,173.59 | |
Sanford Health Plan
| Professional | $534.39 | $716.77 | $1,035.04 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |