| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.43 | $177.43 | $3,073.00 | |
Medica
| Facility | $193.00 | $299.86 | $539.97 | |
Midlands
| Facility | $322.00 | $504.42 | $1,759.36 | |
Sanford Health Plan
| Professional | $242.18 | $326.08 | $383.61 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |