| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $155.27 | $453.37 | $453.37 | |
Medica
| Facility | $203.57 | $566.74 | $1,196.88 | |
Midlands
| Facility | $407.09 | $1,056.81 | $2,896.79 | |
Sanford Health Plan
| Professional | $272.75 | $613.97 | $823.50 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |