| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $165.10 | $165.10 | $3,073.00 | |
Medica
| Facility | $193.56 | $279.02 | $432.40 | |
Midlands
| Facility | $286.00 | $417.34 | $2,860.34 | |
Sanford Health Plan
| Professional | $199.80 | $272.69 | $312.45 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |