| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.24 | $95.24 | $3,073.00 | |
Medica
| Facility | $106.07 | $160.96 | $295.60 | |
Midlands
| Facility | $162.83 | $270.58 | $1,182.97 | |
Sanford Health Plan
| Professional | $135.36 | $182.70 | $208.30 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |