| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $301.56 | $489.52 | $489.52 | |
Medica
| Facility | $266.12 | $500.80 | $1,085.81 | |
Midlands
| Facility | $676.54 | $1,041.10 | $1,539.00 | |
Sanford Health Plan
| Professional | $410.44 | $583.73 | $857.79 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |