| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $231.87 | $231.87 | $231.87 | |
Medica
| Facility | $288.12 | $391.86 | $632.08 | |
Midlands
| Facility | $442.00 | $545.04 | $720.61 | |
Sanford Health Plan
| Professional | $296.24 | $388.67 | $443.13 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |