| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $506.85 | $506.85 | $506.85 | |
Medica
| Facility | $417.38 | $630.50 | $1,239.63 | |
Midlands
| Facility | $893.32 | $1,095.21 | $1,821.47 | |
Sanford Health Plan
| Professional | $508.21 | $782.51 | $939.41 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |