| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.19 | $77.19 | $2,290.00 | |
Medica
| Facility | $94.32 | $132.82 | $225.59 | |
Midlands
| Facility | $126.64 | $201.20 | $271.16 | |
Sanford Health Plan
| Professional | $102.84 | $150.36 | $171.43 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |