| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.83 | $272.68 | $272.68 | |
Medica
| Facility | $126.31 | $291.55 | $747.57 | |
Midlands
| Facility | $258.04 | $596.79 | $1,156.80 | |
Sanford Health Plan
| Professional | $165.50 | $350.88 | $528.04 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |