| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $168.24 | $168.24 | $168.24 | |
Medica
| Facility | $159.69 | $262.98 | $496.03 | |
Midlands
| Facility | $350.38 | $391.88 | $507.85 | |
Sanford Health Plan
| Professional | $220.13 | $275.76 | $318.52 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |