| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $88.98 | $494.27 | $494.27 | |
Medica
| Facility | $114.59 | $433.29 | $1,037.38 | |
Midlands
| Facility | $228.60 | $880.93 | $1,213.17 | |
Sanford Health Plan
| Professional | $136.49 | $497.77 | $910.19 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |