| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $227.70 | $227.70 | $3,073.00 | |
Medica
| Facility | $293.04 | $384.81 | $656.25 | |
Midlands
| Facility | $427.00 | $633.67 | $1,759.36 | |
Sanford Health Plan
| Professional | $305.76 | $407.88 | $468.36 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |