| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $193.68 | $193.68 | $7,866.00 | |
Medica
| Facility | $226.90 | $327.32 | $507.07 | |
Midlands
| Facility | $337.00 | $490.06 | $2,860.34 | |
Sanford Health Plan
| Professional | $234.40 | $319.69 | $368.09 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |