| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.25 | $134.38 | $134.38 | |
Medica
| Facility | $119.85 | $208.48 | $351.06 | |
Midlands
| Facility | $222.40 | $308.72 | $1,716.91 | |
Sanford Health Plan
| Professional | $141.31 | $202.57 | $271.70 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |