| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $145.10 | $145.10 | $2,290.00 | |
Medica
| Facility | $153.47 | $245.22 | $436.13 | |
Midlands
| Facility | $237.17 | $382.25 | $2,030.75 | |
Sanford Health Plan
| Professional | $190.93 | $258.45 | $304.04 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |