| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $178.76 | $977.39 | $977.39 | |
Medica
| Facility | $224.55 | $776.36 | $2,216.75 | |
Midlands
| Facility | $414.53 | $1,743.00 | $2,377.10 | |
Sanford Health Plan
| Professional | $276.62 | $1,112.33 | $1,552.56 | |
United
| Facility | $821.00 | $821.00 | $821.00 |