| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $188.80 | $188.80 | $3,073.00 | |
Medica
| Facility | $196.96 | $341.32 | $579.00 | |
Midlands
| Facility | $321.60 | $510.21 | $2,030.75 | |
Sanford Health Plan
| Professional | $258.83 | $342.71 | $390.73 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |