| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $165.54 | $165.54 | $2,290.00 | |
Medica
| Facility | $217.59 | $279.76 | $455.34 | |
Midlands
| Facility | $305.91 | $441.27 | $3,711.03 | |
Sanford Health Plan
| Professional | $206.84 | $284.27 | $324.10 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |