| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $434.89 | $434.89 | $434.89 | |
Medica
| Facility | $560.10 | $734.96 | $1,256.16 | |
Midlands
| Facility | $819.00 | $1,213.47 | $4,555.17 | |
Sanford Health Plan
| Professional | $585.13 | $779.79 | $896.60 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |