| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.14 | $34.14 | $2,290.00 | |
Medica
| Facility | $42.13 | $57.70 | $88.63 | |
Midlands
| Facility | $61.00 | $79.66 | $101.17 | |
Sanford Health Plan
| Professional | $42.38 | $56.28 | $64.69 | |
United
| Facility | $7,865.00 | $7,865.00 | $7,865.00 |