| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.29 | $706.50 | $706.50 | |
Medica
| Facility | $235.69 | $632.07 | $1,884.35 | |
Midlands
| Facility | $463.10 | $1,490.54 | $4,831.64 | |
Sanford Health Plan
| Professional | $320.04 | $927.88 | $1,324.85 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |