| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $161.16 | $161.16 | $3,073.00 | |
Medica
| Facility | $196.68 | $265.39 | $421.52 | |
Midlands
| Facility | $265.00 | $435.58 | $2,929.96 | |
Sanford Health Plan
| Professional | $190.58 | $274.19 | $342.21 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |