| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $115.93 | $260.52 | $260.52 | |
Medica
| Facility | $172.98 | $333.96 | $650.78 | |
Midlands
| Facility | $303.35 | $569.14 | $1,913.58 | |
Sanford Health Plan
| Professional | $208.96 | $361.41 | $505.88 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |