| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $166.64 | $955.03 | $955.03 | |
Medica
| Facility | $145.51 | $656.20 | $1,893.12 | |
Midlands
| Facility | $366.18 | $1,539.00 | $2,087.09 | |
Sanford Health Plan
| Professional | $225.23 | $930.20 | $1,561.62 | |
United
| Facility | $2,714.00 | $2,714.00 | $4,665.92 |