| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $345.34 | $345.34 | $345.34 | |
Medica
| Facility | $343.35 | $583.62 | $946.25 | |
Midlands
| Facility | $664.00 | $819.03 | $1,078.29 | |
Sanford Health Plan
| Professional | $441.98 | $582.72 | $664.37 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |