| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $301.04 | $452.91 | $452.91 | |
Medica
| Facility | $434.30 | $646.19 | $1,047.67 | |
Midlands
| Facility | $701.38 | $1,034.50 | $3,711.03 | |
Sanford Health Plan
| Professional | $435.50 | $583.50 | $848.73 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |