| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $172.62 | $172.62 | $3,073.00 | |
Medica
| Facility | $182.56 | $291.73 | $524.09 | |
Midlands
| Facility | $284.63 | $478.39 | $4,408.14 | |
Sanford Health Plan
| Professional | $230.08 | $312.73 | $361.62 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |