| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.84 | $59.84 | $3,073.00 | |
Medica
| Facility | $76.73 | $101.13 | $173.74 | |
Midlands
| Facility | $114.00 | $166.26 | $3,079.87 | |
Sanford Health Plan
| Professional | $80.87 | $107.81 | $122.91 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |