| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $295.63 | $372.55 | $372.55 | |
Medica
| Facility | $380.97 | $606.29 | $993.32 | |
Midlands
| Facility | $705.00 | $959.42 | $4,412.80 | |
Sanford Health Plan
| Professional | $422.63 | $604.85 | $754.93 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |