| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $124.34 | $712.31 | $814.54 | |
Medica
| Facility | $146.03 | $691.02 | $1,425.25 | |
Midlands
| Facility | $301.52 | $1,296.23 | $2,082.60 | |
Sanford Health Plan
| Professional | $202.91 | $914.40 | $1,382.43 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |