| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.03 | $310.05 | $310.05 | |
Medica
| Facility | $228.83 | $427.33 | $894.76 | |
Midlands
| Facility | $427.19 | $648.91 | $1,386.25 | |
Sanford Health Plan
| Professional | $283.75 | $422.98 | $578.46 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |