| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $274.54 | $274.54 | $274.54 | |
Medica
| Facility | $298.64 | $463.97 | $848.19 | |
Midlands
| Facility | $539.00 | $799.72 | $1,311.70 | |
Sanford Health Plan
| Professional | $376.72 | $509.42 | $592.55 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |