| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.21 | $2,612.15 | $2,612.15 | |
Medica
| Facility | $104.77 | $175.52 | $293.94 | |
Midlands
| Facility | $163.16 | $257.55 | $3,285.23 | |
Sanford Health Plan
| Professional | $119.82 | $181.02 | $207.01 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |