| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $293.62 | $371.56 | $371.56 | |
Medica
| Facility | $380.59 | $600.41 | $988.20 | |
Midlands
| Facility | $692.00 | $950.02 | $4,412.80 | |
Sanford Health Plan
| Professional | $416.02 | $602.26 | $756.23 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |