| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $283.01 | $283.01 | $283.01 | |
Medica
| Facility | $274.68 | $442.44 | $752.86 | |
Midlands
| Facility | $545.74 | $663.11 | $866.61 | |
Sanford Health Plan
| Professional | $356.78 | $472.64 | $538.87 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |