| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.01 | $177.01 | $3,073.00 | |
Medica
| Facility | $184.56 | $320.12 | $541.99 | |
Midlands
| Facility | $300.79 | $479.78 | $2,030.75 | |
Sanford Health Plan
| Professional | $242.89 | $321.14 | $366.15 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |