| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $188.41 | $349.42 | $349.42 | |
Medica
| Facility | $262.14 | $470.53 | $723.94 | |
Midlands
| Facility | $435.88 | $690.90 | $1,679.79 | |
Sanford Health Plan
| Professional | $306.13 | $453.04 | $652.08 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |