| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $323.76 | $323.76 | $323.76 | |
Medica
| Facility | $395.37 | $573.10 | $946.87 | |
Midlands
| Facility | $529.03 | $843.45 | $1,127.30 | |
Sanford Health Plan
| Professional | $469.66 | $629.20 | $716.12 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |