| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.66 | $130.66 | $2,290.00 | |
Medica
| Facility | $135.90 | $258.58 | $493.97 | |
Midlands
| Facility | $221.97 | $367.98 | $2,030.75 | |
Sanford Health Plan
| Professional | $178.61 | $248.82 | $279.70 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |