| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $127.68 | $396.98 | $396.98 | |
Medica
| Facility | $166.59 | $403.40 | $1,013.81 | |
Midlands
| Facility | $339.26 | $800.18 | $1,213.17 | |
Sanford Health Plan
| Professional | $225.46 | $477.37 | $759.46 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |