| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $313.79 | $652.09 | $652.09 | |
Medica
| Facility | $460.59 | $851.89 | $1,516.48 | |
Midlands
| Facility | $711.79 | $959.42 | $1,640.80 | |
Sanford Health Plan
| Professional | $524.72 | $789.02 | $1,226.52 | |
United
| Facility | $1,643.00 | $1,643.00 | $1,643.00 |