| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $168.56 | $855.01 | $855.01 | |
Medica
| Facility | $215.30 | $776.98 | $1,973.50 | |
Midlands
| Facility | $439.49 | $1,504.41 | $2,707.21 | |
Sanford Health Plan
| Professional | $255.14 | $1,037.22 | $1,554.50 | |
United
| Facility | $821.00 | $821.00 | $821.00 |