| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $200.12 | $200.12 | $3,073.00 | |
Medica
| Facility | $234.52 | $338.20 | $538.88 | |
Midlands
| Facility | $365.00 | $518.77 | $2,860.34 | |
Sanford Health Plan
| Professional | $246.94 | $331.93 | $378.44 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |