| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $142.30 | $142.30 | $2,290.00 | |
Medica
| Facility | $148.72 | $240.49 | $449.48 | |
Midlands
| Facility | $242.42 | $402.99 | $9,987.01 | |
Sanford Health Plan
| Professional | $188.00 | $250.75 | $294.99 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |