| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $149.06 | $149.06 | $149.06 | |
Medica
| Facility | $174.92 | $206.72 | $412.91 | |
Midlands
| Facility | $233.31 | $365.53 | $478.65 | |
Sanford Health Plan
| Professional | $195.91 | $261.98 | $295.63 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |