| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $411.85 | $582.92 | $582.92 | |
Medica
| Facility | $503.42 | $826.45 | $1,343.89 | |
Midlands
| Facility | $896.65 | $1,226.33 | $3,711.03 | |
Sanford Health Plan
| Professional | $571.83 | $796.98 | $1,090.03 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |