| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $473.70 | $473.70 | $473.70 | |
Medica
| Facility | $583.85 | $787.70 | $1,293.74 | |
Midlands
| Facility | $799.00 | $1,321.91 | $1,759.36 | |
Sanford Health Plan
| Professional | $610.15 | $817.15 | $961.29 | |
United
| Facility | $1,643.00 | $1,643.00 | $1,643.00 |