| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $280.52 | $280.52 | $2,290.00 | |
Medica
| Facility | $292.20 | $452.00 | $856.36 | |
Midlands
| Facility | $476.36 | $792.35 | $1,487.46 | |
Sanford Health Plan
| Professional | $370.15 | $492.71 | $579.62 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |