| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $157.16 | $157.16 | $2,290.00 | |
Medica
| Facility | $164.48 | $310.45 | $625.86 | |
Midlands
| Facility | $266.91 | $443.38 | $1,487.46 | |
Sanford Health Plan
| Professional | $214.50 | $285.97 | $392.80 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |