| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $249.35 | $249.35 | $249.35 | |
Medica
| Facility | $238.58 | $390.29 | $632.78 | |
Midlands
| Facility | $412.37 | $582.28 | $752.95 | |
Sanford Health Plan
| Professional | $328.97 | $411.37 | $469.00 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |