| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $226.69 | $226.69 | $3,073.00 | |
Medica
| Facility | $236.40 | $409.72 | $695.05 | |
Midlands
| Facility | $387.44 | $610.84 | $2,030.75 | |
Sanford Health Plan
| Professional | $310.94 | $411.37 | $469.00 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |