| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $345.86 | $345.86 | $345.86 | |
Medica
| Facility | $459.53 | $584.50 | $1,060.97 | |
Midlands
| Facility | $636.00 | $998.06 | $3,079.87 | |
Sanford Health Plan
| Professional | $476.15 | $633.48 | $745.23 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |