| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $119.25 | $380.85 | $380.85 | |
Medica
| Facility | $155.22 | $362.27 | $985.88 | |
Midlands
| Facility | $248.85 | $763.43 | $1,522.92 | |
Sanford Health Plan
| Professional | $188.58 | $461.01 | $735.53 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |