| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $418.71 | $591.55 | $591.55 | |
Medica
| Facility | $510.27 | $725.72 | $1,358.57 | |
Midlands
| Facility | $921.40 | $1,256.18 | $3,711.03 | |
Sanford Health Plan
| Professional | $582.20 | $818.98 | $1,116.55 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |