| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.81 | $144.81 | $144.81 | |
Medica
| Facility | $179.98 | $244.73 | $398.18 | |
Midlands
| Facility | $283.00 | $343.20 | $451.57 | |
Sanford Health Plan
| Professional | $186.83 | $239.88 | $272.33 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |