| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $269.49 | $269.49 | $269.49 | |
Medica
| Facility | $314.44 | $455.44 | $707.36 | |
Midlands
| Facility | $475.00 | $681.24 | $2,860.34 | |
Sanford Health Plan
| Professional | $326.52 | $445.59 | $508.46 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |