| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $145.80 | $10,192.83 | $10,401.93 | |
Medica
| Facility | $188.40 | $354.39 | $639.73 | |
Midlands
| Facility | $363.02 | $581.10 | $2,532.54 | |
Sanford Health Plan
| Professional | $263.95 | $356.33 | $551.49 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |