| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $159.79 | $159.79 | $2,290.00 | |
Medica
| Facility | $162.37 | $276.75 | $479.91 | |
Midlands
| Facility | $255.25 | $418.55 | $1,487.46 | |
Sanford Health Plan
| Professional | $183.52 | $283.72 | $335.09 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |