| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $332.82 | $439.33 | $439.33 | |
Medica
| Facility | $391.74 | $662.04 | $1,129.02 | |
Midlands
| Facility | $685.00 | $1,069.96 | $5,269.25 | |
Sanford Health Plan
| Professional | $476.54 | $679.89 | $862.10 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |