| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $504.24 | $504.24 | $504.24 | |
Medica
| Facility | $613.55 | $852.17 | $1,296.83 | |
Midlands
| Facility | $868.00 | $1,170.58 | $2,930.75 | |
Sanford Health Plan
| Professional | $601.01 | $813.65 | $927.65 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |