| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $203.22 | $203.22 | $3,073.00 | |
Medica
| Facility | $237.87 | $343.44 | $525.95 | |
Midlands
| Facility | $350.00 | $514.29 | $1,416.99 | |
Sanford Health Plan
| Professional | $245.90 | $330.71 | $385.55 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |