| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $296.02 | $473.50 | $473.50 | |
Medica
| Facility | $427.40 | $675.92 | $1,095.85 | |
Midlands
| Facility | $661.73 | $1,009.46 | $3,711.03 | |
Sanford Health Plan
| Professional | $435.52 | $584.15 | $897.25 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |