| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $180.98 | $3,719.62 | $5,536.99 | |
Aetna
| Facility | 52 | $90.49 | $90.49 | $90.49 |
Medica
| Facility | $223.71 | $327.24 | $553.57 | |
Midlands
| Facility | $307.69 | $510.69 | $2,030.75 | |
Sanford Health Plan
| Professional | $247.80 | $327.96 | $373.91 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |