| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $184.86 | $184.86 | $3,073.00 | |
Medica
| Facility | $241.16 | $312.41 | $476.27 | |
Midlands
| Facility | $341.80 | $488.27 | $1,969.98 | |
Sanford Health Plan
| Professional | $224.81 | $309.70 | $367.44 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |