| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.01 | $369.51 | $369.51 | |
Medica
| Facility | $304.00 | $517.36 | $838.80 | |
Midlands
| Facility | $482.14 | $784.58 | $2,824.47 | |
Sanford Health Plan
| Professional | $318.80 | $460.18 | $697.36 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |