| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $289.91 | $289.91 | $2,290.00 | |
Medica
| Facility | $284.44 | $453.14 | $734.68 | |
Midlands
| Facility | $532.69 | $683.54 | $898.93 | |
Sanford Health Plan
| Professional | $374.52 | $488.53 | $556.98 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |