| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.63 | $382.96 | $382.96 | |
Medica
| Facility | $311.06 | $497.70 | $994.60 | |
Midlands
| Facility | $581.51 | $876.26 | $2,389.42 | |
Sanford Health Plan
| Professional | $385.36 | $516.87 | $746.10 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |