| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $242.43 | $242.43 | $3,511.00 | |
Aetna
| Facility | 52 | $121.22 | $121.22 | $121.22 |
Medica
| Facility | $253.09 | $409.71 | $742.89 | |
Midlands
| Facility | $414.02 | $641.99 | $2,030.75 | |
Sanford Health Plan
| Professional | $332.90 | $440.30 | $501.99 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |