| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $133.00 | $151.46 | $151.46 | |
Medica
| Facility | $171.96 | $240.00 | $401.95 | |
Midlands
| Facility | $270.00 | $393.99 | $1,679.79 | |
Sanford Health Plan
| Professional | $172.18 | $259.93 | $311.81 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |