| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $313.07 | $313.07 | $313.07 | |
Medica
| Facility | $299.43 | $488.66 | $821.47 | |
Midlands
| Facility | $595.48 | $730.62 | $946.89 | |
Sanford Health Plan
| Professional | $388.79 | $516.33 | $588.67 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |