| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.66 | $642.76 | $642.76 | |
Medica
| Facility | $201.52 | $585.94 | $1,330.08 | |
Midlands
| Facility | $364.39 | $846.84 | $2,024.15 | |
Sanford Health Plan
| Professional | $243.13 | $662.90 | $1,183.83 | |
United
| Facility | $1,643.00 | $1,643.00 | $1,643.00 |