| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.83 | $308.92 | $308.92 | |
Medica
| Facility | $107.78 | $337.12 | $884.65 | |
Midlands
| Facility | $219.09 | $662.29 | $1,003.20 | |
Sanford Health Plan
| Professional | $145.72 | $407.09 | $588.67 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |