| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.74 | $420.32 | $420.32 | |
Medica
| Facility | $224.92 | $528.36 | $995.66 | |
Midlands
| Facility | $393.93 | $876.46 | $1,679.79 | |
Sanford Health Plan
| Professional | $298.05 | $574.90 | $771.10 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |