| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $408.92 | $590.30 | $590.30 | |
Medica
| Facility | $586.29 | $906.87 | $1,360.68 | |
Midlands
| Facility | $912.34 | $1,274.38 | $3,711.03 | |
Sanford Health Plan
| Professional | $600.46 | $805.39 | $1,132.72 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |