| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.32 | $375.20 | $3,073.00 | |
Medica
| Facility | $204.92 | $441.63 | $864.69 | |
Midlands
| Facility | $383.81 | $616.22 | $1,386.25 | |
Sanford Health Plan
| Professional | $251.85 | $490.35 | $659.89 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |