| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.37 | $328.88 | $610.88 | |
Medica
| Facility | $343.12 | $635.79 | $1,004.33 | |
Midlands
| Facility | $562.71 | $932.54 | $4,408.14 | |
Sanford Health Plan
| Professional | $452.36 | $596.90 | $680.54 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |