| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $255.08 | $474.17 | $474.17 | |
Medica
| Facility | $366.16 | $629.54 | $1,148.22 | |
Midlands
| Facility | $558.66 | $1,030.16 | $3,711.03 | |
Sanford Health Plan
| Professional | $411.88 | $600.00 | $982.64 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |