| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $237.71 | $237.71 | $237.71 | |
Medica
| Facility | $228.85 | $371.97 | $623.91 | |
Midlands
| Facility | $452.31 | $556.21 | $721.66 | |
Sanford Health Plan
| Professional | $298.83 | $394.34 | $449.60 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |