| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $171.21 | $171.21 | $3,511.00 | |
Medica
| Facility | $220.32 | $356.60 | $688.36 | |
Midlands
| Facility | $399.05 | $475.68 | $3,079.87 | |
Sanford Health Plan
| Professional | $247.09 | $335.57 | $427.61 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |