| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $176.19 | $176.19 | $2,290.00 | |
Medica
| Facility | $188.90 | $297.76 | $541.10 | |
Midlands
| Facility | $295.86 | $465.68 | $2,030.75 | |
Sanford Health Plan
| Professional | $238.56 | $322.58 | $373.91 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |