| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $148.08 | $148.08 | $3,073.00 | |
Medica
| Facility | $173.43 | $250.26 | $385.54 | |
Midlands
| Facility | $250.00 | $372.49 | $2,860.34 | |
Sanford Health Plan
| Professional | $178.61 | $243.10 | $280.75 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |