| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $319.60 | $319.60 | $2,290.00 | |
Medica
| Facility | $324.81 | $441.50 | $780.29 | |
Midlands
| Facility | $391.00 | $773.26 | $1,166.95 | |
Sanford Health Plan
| Professional | $329.15 | $500.84 | $615.20 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |