| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $154.78 | $2,941.54 | $4,050.00 | |
Medica
| Facility | $196.97 | $258.37 | $393.03 | |
Midlands
| Facility | $285.43 | $400.29 | $1,969.98 | |
Sanford Health Plan
| Professional | $186.48 | $256.61 | $308.57 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |