| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $500.04 | $665.79 | $665.79 | |
Medica
| Facility | $609.36 | $894.63 | $1,529.93 | |
Midlands
| Facility | $1,089.00 | $1,422.11 | $3,711.03 | |
Sanford Health Plan
| Professional | $659.78 | $979.41 | $1,264.04 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |