| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $182.55 | $182.55 | $4,338.00 | |
Medica
| Facility | $172.76 | $255.76 | $477.26 | |
Midlands
| Facility | $264.85 | $444.68 | $1,539.34 | |
Sanford Health Plan
| Professional | $189.19 | $290.43 | $344.15 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |