| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.40 | $194.94 | $864.23 | |
Medica
| Facility | $253.36 | $699.51 | $1,702.48 | |
Midlands
| Facility | $517.23 | $1,149.11 | $1,632.38 | |
Sanford Health Plan
| Professional | $345.89 | $813.49 | $1,148.25 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |