| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $199.82 | $199.82 | $3,073.00 | |
Medica
| Facility | $216.80 | $337.70 | $609.94 | |
Midlands
| Facility | $366.00 | $570.83 | $1,759.36 | |
Sanford Health Plan
| Professional | $272.89 | $366.23 | $430.84 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |