| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $249.15 | $249.15 | $3,511.00 | |
Medica
| Facility | $260.27 | $421.06 | $760.63 | |
Midlands
| Facility | $425.61 | $660.13 | $2,030.75 | |
Sanford Health Plan
| Professional | $342.08 | $452.79 | $516.23 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |