| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $136.10 | $237.59 | $237.59 | |
Medica
| Facility | $168.11 | $303.93 | $573.82 | |
Midlands
| Facility | $333.10 | $504.19 | $2,389.42 | |
Sanford Health Plan
| Professional | $207.39 | $298.99 | $461.48 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |