| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $285.86 | $362.44 | $362.44 | |
Medica
| Facility | $368.65 | $551.62 | $963.89 | |
Midlands
| Facility | $690.00 | $926.03 | $2,896.79 | |
Sanford Health Plan
| Professional | $408.47 | $588.67 | $740.05 | |
United
| Facility | $1,643.00 | $1,643.00 | $1,643.00 |