| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.30 | $103.30 | $2,290.00 | |
Medica
| Facility | $116.84 | $174.58 | $322.60 | |
Midlands
| Facility | $177.76 | $265.79 | $368.13 | |
Sanford Health Plan
| Professional | $148.88 | $200.86 | $229.00 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |