| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $367.15 | $455.01 | $455.01 | |
Medica
| Facility | $473.36 | $756.13 | $1,218.63 | |
Midlands
| Facility | $863.00 | $1,179.31 | $4,412.80 | |
Sanford Health Plan
| Professional | $519.17 | $755.58 | $930.24 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |