| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $221.57 | $221.57 | $221.57 | |
Medica
| Facility | $248.82 | $322.38 | $586.78 | |
Midlands
| Facility | $340.59 | $581.05 | $742.51 | |
Sanford Health Plan
| Professional | $303.16 | $413.52 | $486.47 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |