| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $346.69 | $346.69 | $346.69 | |
Medica
| Facility | $419.64 | $566.61 | $864.99 | |
Midlands
| Facility | $636.44 | $884.44 | $3,711.03 | |
Sanford Health Plan
| Professional | $408.89 | $562.16 | $681.83 | |
United
| Facility | $2,000.00 | $2,000.00 | $6,489.22 |