| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $146.68 | $308.51 | $308.51 | |
Medica
| Facility | $210.51 | $379.15 | $701.66 | |
Midlands
| Facility | $343.00 | $657.92 | $2,824.47 | |
Sanford Health Plan
| Professional | $252.76 | $382.74 | $584.79 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |