| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.48 | $458.02 | $458.02 | |
Medica
| Facility | $95.49 | $399.91 | $1,244.21 | |
Midlands
| Facility | $191.57 | $949.44 | $1,492.16 | |
Sanford Health Plan
| Professional | $127.58 | $562.62 | $852.61 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |