| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $218.16 | $218.16 | $3,073.00 | |
Medica
| Facility | $229.95 | $400.24 | $668.52 | |
Midlands
| Facility | $372.42 | $618.39 | $2,030.75 | |
Sanford Health Plan
| Professional | $300.13 | $399.45 | $455.42 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |