| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $222.94 | $222.94 | $3,073.00 | |
Medica
| Facility | $268.47 | $369.59 | $631.53 | |
Midlands
| Facility | $356.16 | $529.11 | $742.51 | |
Sanford Health Plan
| Professional | $278.33 | $412.50 | $470.30 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |