| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $338.06 | $518.03 | $518.03 | |
Medica
| Facility | $485.05 | $734.07 | $1,188.50 | |
Midlands
| Facility | $773.58 | $1,169.97 | $8,250.46 | |
Sanford Health Plan
| Professional | $496.29 | $665.66 | $982.64 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |