| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $351.99 | $522.71 | $522.71 | |
Medica
| Facility | $500.00 | $738.48 | $1,189.52 | |
Midlands
| Facility | $798.84 | $1,083.69 | $3,711.03 | |
Sanford Health Plan
| Professional | $501.11 | $672.13 | $963.23 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |