| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $178.41 | $178.41 | $3,073.00 | |
Medica
| Facility | $190.31 | $301.51 | $544.89 | |
Midlands
| Facility | $300.70 | $503.52 | $2,030.75 | |
Sanford Health Plan
| Professional | $242.62 | $330.23 | $376.50 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |