| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $108.83 | $906.35 | $906.35 | |
Medica
| Facility | $141.85 | $331.02 | $2,564.56 | |
Midlands
| Facility | $224.74 | $1,522.92 | $2,359.19 | |
Sanford Health Plan
| Professional | $170.25 | $1,234.69 | $1,885.07 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |