| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $246.47 | $246.47 | $4,338.00 | |
Medica
| Facility | $256.91 | $416.53 | $750.50 | |
Midlands
| Facility | $417.98 | $662.31 | $10,362.61 | |
Sanford Health Plan
| Professional | $294.02 | $447.11 | $509.76 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |