| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $116.45 | $116.45 | $3,073.00 | |
Medica
| Facility | $101.48 | $183.23 | $291.70 | |
Midlands
| Facility | $148.99 | $254.24 | $1,520.70 | |
Sanford Health Plan
| Professional | $110.60 | $160.44 | $203.13 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |