| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $182.52 | $182.52 | $3,073.00 | |
Medica
| Facility | $192.91 | $308.45 | $554.46 | |
Midlands
| Facility | $303.26 | $509.80 | $2,082.60 | |
Sanford Health Plan
| Professional | $244.99 | $331.29 | $382.32 | |
United
| Facility | $2,000.00 | $2,000.00 | $3,793.98 |