| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.90 | $180.11 | $180.11 | |
Medica
| Facility | $108.06 | $209.56 | $399.48 | |
Midlands
| Facility | $206.09 | $258.62 | $1,239.49 | |
Sanford Health Plan
| Professional | $135.83 | $236.93 | $318.85 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |