| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $161.72 | $244.33 | $2,219.40 | |
Medica
| Facility | $238.22 | $379.54 | $527.38 | |
Midlands
| Facility | $392.80 | $587.10 | $2,865.77 | |
Sanford Health Plan
| Professional | $268.56 | $348.48 | $524.64 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |