| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.55 | $993.63 | $993.63 | |
Medica
| Facility | $102.04 | $275.95 | $1,845.04 | |
Midlands
| Facility | $195.53 | $1,522.92 | $3,128.06 | |
Sanford Health Plan
| Professional | $121.06 | $1,142.56 | $1,787.38 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |