| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.74 | $223.76 | $1,746.90 | |
Medica
| Facility | $130.27 | $247.30 | $503.37 | |
Midlands
| Facility | $211.05 | $467.24 | $1,664.46 | |
Sanford Health Plan
| Professional | $153.54 | $275.75 | $415.31 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |