| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $172.77 | $172.77 | $172.77 | |
Medica
| Facility | $167.86 | $269.45 | $436.87 | |
Midlands
| Facility | $269.20 | $403.88 | $528.71 | |
Sanford Health Plan
| Professional | $231.19 | $288.81 | $329.27 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |