| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $495.96 | $495.96 | $495.96 | |
Medica
| Facility | $522.98 | $797.42 | $1,456.77 | |
Midlands
| Facility | $789.99 | $1,309.83 | $3,285.23 | |
Sanford Health Plan
| Professional | $644.02 | $870.88 | $1,047.98 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |