| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $217.12 | $217.12 | $3,511.00 | |
Medica
| Facility | $253.12 | $366.93 | $568.48 | |
Midlands
| Facility | $380.00 | $544.79 | $2,860.34 | |
Sanford Health Plan
| Professional | $262.94 | $357.98 | $408.19 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |