| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $208.52 | $208.52 | $3,511.00 | |
Medica
| Facility | $218.17 | $413.02 | $669.81 | |
Midlands
| Facility | $355.95 | $589.69 | $2,030.75 | |
Sanford Health Plan
| Professional | $286.30 | $379.59 | $432.78 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |