| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $132.85 | $132.85 | $3,073.00 | |
Medica
| Facility | $138.53 | $240.84 | $410.70 | |
Midlands
| Facility | $226.14 | $361.59 | $2,030.75 | |
Sanford Health Plan
| Professional | $181.63 | $241.15 | $274.93 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |