| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $345.79 | $345.79 | $345.79 | |
Medica
| Facility | $332.18 | $540.48 | $907.31 | |
Midlands
| Facility | $657.72 | $808.19 | $1,047.02 | |
Sanford Health Plan
| Professional | $431.17 | $572.51 | $652.72 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |