| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.18 | $354.76 | $354.76 | |
Medica
| Facility | $124.17 | $320.88 | $934.44 | |
Midlands
| Facility | $252.48 | $730.77 | $1,522.92 | |
Sanford Health Plan
| Professional | $168.27 | $418.86 | $672.78 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |