| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $508.31 | $653.51 | $653.51 | |
Medica
| Facility | $601.11 | $897.96 | $1,550.17 | |
Midlands
| Facility | $975.00 | $1,498.55 | $2,389.42 | |
Sanford Health Plan
| Professional | $643.63 | $950.94 | $1,195.47 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |