| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.29 | $68.29 | $2,290.00 | |
Medica
| Facility | $79.73 | $94.23 | $185.95 | |
Midlands
| Facility | $137.78 | $175.91 | $1,416.99 | |
Sanford Health Plan
| Professional | $84.10 | $113.72 | $131.32 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |