| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $192.98 | $835.75 | $835.75 | |
Medica
| Facility | $275.83 | $776.22 | $1,762.02 | |
Midlands
| Facility | $505.41 | $1,481.39 | $2,710.34 | |
Sanford Health Plan
| Professional | $331.73 | $1,004.63 | $1,571.97 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |