| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $315.81 | $315.81 | $315.81 | |
Medica
| Facility | $320.83 | $618.91 | $944.05 | |
Midlands
| Facility | $517.05 | $812.75 | $1,016.76 | |
Sanford Health Plan
| Professional | $412.75 | $558.15 | $638.49 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |