| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $454.73 | $454.73 | $454.73 | |
Medica
| Facility | $466.32 | $737.94 | $1,311.03 | |
Midlands
| Facility | $710.61 | $1,183.50 | $3,285.23 | |
Sanford Health Plan
| Professional | $580.51 | $785.01 | $949.00 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |