| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $386.15 | $541.91 | $541.91 | |
Medica
| Facility | $499.20 | $787.59 | $1,413.89 | |
Midlands
| Facility | $897.37 | $1,255.58 | $2,440.29 | |
Sanford Health Plan
| Professional | $571.34 | $808.82 | $1,084.84 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |