| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $237.32 | $413.37 | $413.37 | |
Medica
| Facility | $321.54 | $539.04 | $979.19 | |
Midlands
| Facility | $554.00 | $853.48 | $2,197.38 | |
Sanford Health Plan
| Professional | $370.89 | $541.25 | $817.03 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |