| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $349.43 | $458.96 | $458.96 | |
Medica
| Facility | $403.25 | $690.50 | $1,180.20 | |
Midlands
| Facility | $717.00 | $1,097.24 | $5,269.25 | |
Sanford Health Plan
| Professional | $483.23 | $718.06 | $903.94 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |