| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $199.05 | $199.05 | $199.05 | |
Medica
| Facility | $247.38 | $336.39 | $553.98 | |
Midlands
| Facility | $383.00 | $470.02 | $605.89 | |
Sanford Health Plan
| Professional | $263.26 | $335.33 | $382.32 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |