| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $157.96 | $157.96 | $2,290.00 | |
Medica
| Facility | $167.17 | $266.95 | $479.33 | |
Midlands
| Facility | $260.69 | $439.81 | $2,030.75 | |
Sanford Health Plan
| Professional | $211.04 | $286.04 | $331.21 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |