| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $221.62 | $221.62 | $3,073.00 | |
Medica
| Facility | $230.86 | $393.62 | $679.09 | |
Midlands
| Facility | $377.99 | $601.47 | $2,030.75 | |
Sanford Health Plan
| Professional | $303.58 | $401.72 | $458.01 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |