| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $156.40 | $900.89 | $900.89 | |
Medica
| Facility | $193.62 | $723.51 | $2,052.61 | |
Midlands
| Facility | $362.02 | $1,539.00 | $2,200.98 | |
Sanford Health Plan
| Professional | $236.76 | $1,027.28 | $1,446.47 | |
United
| Facility | $821.00 | $821.00 | $821.00 |