| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $298.39 | $298.39 | $298.39 | |
Medica
| Facility | $383.97 | $504.30 | $863.11 | |
Midlands
| Facility | $566.00 | $832.03 | $4,555.17 | |
Sanford Health Plan
| Professional | $400.90 | $536.10 | $613.26 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |