| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $208.77 | $208.77 | $3,073.00 | |
Medica
| Facility | $222.08 | $352.82 | $638.67 | |
Midlands
| Facility | $355.90 | $600.42 | $2,030.75 | |
Sanford Health Plan
| Professional | $288.12 | $385.26 | $439.25 | |
United
| Facility | $2,000.00 | $2,000.00 | $3,793.98 |