| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $287.44 | $287.44 | $287.44 | |
Medica
| Facility | $321.37 | $519.67 | $894.04 | |
Midlands
| Facility | $490.60 | $729.51 | $1,013.64 | |
Sanford Health Plan
| Professional | $403.64 | $553.22 | $630.73 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |