| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $176.10 | $176.10 | $3,073.00 | |
Medica
| Facility | $186.14 | $318.44 | $541.19 | |
Midlands
| Facility | $300.32 | $482.12 | $2,030.75 | |
Sanford Health Plan
| Professional | $243.05 | $323.42 | $368.73 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |