| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.22 | $194.24 | $194.24 | |
Medica
| Facility | $69.68 | $155.68 | $364.80 | |
Midlands
| Facility | $110.00 | $389.56 | $903.17 | |
Sanford Health Plan
| Professional | $84.10 | $151.07 | $373.37 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |