| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $180.33 | $180.33 | $2,290.00 | |
Medica
| Facility | $186.70 | $327.26 | $544.01 | |
Midlands
| Facility | $294.29 | $475.18 | $1,487.46 | |
Sanford Health Plan
| Professional | $209.27 | $326.07 | $379.73 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |