| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.38 | $406.08 | $406.08 | |
Medica
| Facility | $161.00 | $375.05 | $1,088.45 | |
Midlands
| Facility | $267.00 | $827.32 | $1,522.92 | |
Sanford Health Plan
| Professional | $218.62 | $480.16 | $772.40 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |