| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.40 | $158.40 | $2,290.00 | |
Medica
| Facility | $166.76 | $267.70 | $480.72 | |
Midlands
| Facility | $261.87 | $418.27 | $2,030.75 | |
Sanford Health Plan
| Professional | $211.04 | $286.62 | $330.57 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |