| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $94.90 | $94.90 | $3,073.00 | |
Medica
| Facility | $127.56 | $194.00 | $284.27 | |
Midlands
| Facility | $182.00 | $277.35 | $2,929.96 | |
Sanford Health Plan
| Professional | $129.80 | $179.28 | $206.36 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |