| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $140.54 | $140.54 | $2,290.00 | |
Medica
| Facility | $146.30 | $212.69 | $367.00 | |
Midlands
| Facility | $280.70 | $391.32 | $3,889.98 | |
Sanford Health Plan
| Professional | $188.99 | $254.76 | $290.45 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |