| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $223.14 | $223.14 | $223.14 | |
Medica
| Facility | $200.87 | $344.29 | $558.19 | |
Midlands
| Facility | $382.23 | $515.45 | $658.04 | |
Sanford Health Plan
| Professional | $281.93 | $348.95 | $397.84 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |