| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.26 | $413.83 | $413.83 | |
Medica
| Facility | $204.32 | $452.00 | $903.74 | |
Midlands
| Facility | $418.85 | $968.99 | $1,487.46 | |
Sanford Health Plan
| Professional | $245.97 | $467.06 | $802.16 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |