| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.73 | $76.73 | $76.73 | |
Medica
| Facility | $93.91 | $129.69 | $225.08 | |
Midlands
| Facility | $125.13 | $200.33 | $269.04 | |
Sanford Health Plan
| Professional | $102.37 | $149.79 | $170.78 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |