| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $413.27 | $599.28 | $599.28 | |
Medica
| Facility | $593.42 | $850.85 | $1,379.48 | |
Midlands
| Facility | $920.66 | $1,288.94 | $3,711.03 | |
Sanford Health Plan
| Professional | $596.12 | $818.33 | $1,145.66 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |