| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $238.64 | $367.17 | $367.17 | |
Medica
| Facility | $317.58 | $505.17 | $912.84 | |
Midlands
| Facility | $534.28 | $807.99 | $1,913.58 | |
Sanford Health Plan
| Professional | $361.24 | $510.67 | $720.00 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |