| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.39 | $255.83 | $255.83 | |
Medica
| Facility | $125.03 | $295.83 | $711.70 | |
Midlands
| Facility | $253.67 | $561.85 | $1,522.92 | |
Sanford Health Plan
| Professional | $169.92 | $339.82 | $496.98 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |