| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $400.27 | $542.62 | $542.62 | |
Medica
| Facility | $419.48 | $697.71 | $1,373.49 | |
Midlands
| Facility | $806.57 | $1,294.10 | $2,532.54 | |
Sanford Health Plan
| Professional | $561.25 | $840.32 | $1,072.56 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |