| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $219.69 | $219.69 | $3,073.00 | |
Medica
| Facility | $231.85 | $394.96 | $674.78 | |
Midlands
| Facility | $376.21 | $603.79 | $2,030.75 | |
Sanford Health Plan
| Professional | $303.58 | $402.85 | $459.30 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |