| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $441.87 | $542.36 | $542.36 | |
Medica
| Facility | $516.50 | $747.61 | $1,328.69 | |
Midlands
| Facility | $813.00 | $1,261.83 | $2,389.42 | |
Sanford Health Plan
| Professional | $555.50 | $824.15 | $997.52 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |