| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $238.01 | $238.01 | $238.01 | |
Medica
| Facility | $225.43 | $372.70 | $633.25 | |
Midlands
| Facility | $459.05 | $555.74 | $705.98 | |
Sanford Health Plan
| Professional | $290.62 | $389.80 | $444.42 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |