| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.40 | $905.45 | $905.45 | |
Medica
| Facility | $161.50 | $715.09 | $2,001.14 | |
Midlands
| Facility | $303.33 | $1,541.00 | $2,135.86 | |
Sanford Health Plan
| Professional | $203.46 | $1,028.15 | $1,430.94 | |
United
| Facility | $821.00 | $821.00 | $821.00 |