| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.21 | $643.35 | $643.35 | |
Medica
| Facility | $169.39 | $589.73 | $1,164.08 | |
Midlands
| Facility | $289.98 | $1,006.62 | $1,795.76 | |
Sanford Health Plan
| Professional | $198.51 | $718.93 | $1,039.57 | |
United
| Facility | $821.00 | $821.00 | $821.00 |