| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $155.31 | $330.49 | $330.49 | |
Medica
| Facility | $202.04 | $467.24 | $960.29 | |
Midlands
| Facility | $368.48 | $701.12 | $2,030.75 | |
Sanford Health Plan
| Professional | $273.85 | $454.37 | $644.04 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |