| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $388.20 | $388.20 | $388.20 | |
Medica
| Facility | $478.11 | $612.67 | $1,018.28 | |
Midlands
| Facility | $735.96 | $1,009.27 | $2,173.59 | |
Sanford Health Plan
| Professional | $467.24 | $652.41 | $770.88 | |
United
| Facility | $2,714.00 | $2,714.00 | $3,905.54 |