| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $266.73 | $266.73 | $266.73 | |
Medica
| Facility | $326.50 | $385.86 | $781.82 | |
Midlands
| Facility | $436.98 | $696.69 | $931.23 | |
Sanford Health Plan
| Professional | $388.46 | $519.95 | $589.97 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |