| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $183.18 | $183.18 | $2,290.00 | |
Medica
| Facility | $185.24 | $309.57 | $789.53 | |
Midlands
| Facility | $311.19 | $518.64 | $3,285.23 | |
Sanford Health Plan
| Professional | $241.60 | $322.24 | $379.08 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |