| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $242.76 | $242.76 | $7,083.00 | |
Medica
| Facility | $252.72 | $485.11 | $860.70 | |
Midlands
| Facility | $414.02 | $689.00 | $2,030.75 | |
Sanford Health Plan
| Professional | $332.57 | $460.46 | $501.35 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |