| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $276.12 | $276.12 | $276.12 | |
Medica
| Facility | $337.48 | $499.64 | $806.96 | |
Midlands
| Facility | $451.14 | $720.00 | $961.49 | |
Sanford Health Plan
| Professional | $397.87 | $535.63 | $610.66 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |