| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $171.90 | $476.37 | $476.37 | |
Medica
| Facility | $222.57 | $538.53 | $1,402.95 | |
Midlands
| Facility | $455.57 | $732.66 | $1,305.16 | |
Sanford Health Plan
| Professional | $304.08 | $670.19 | $918.60 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |