| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $306.41 | $306.41 | $3,073.00 | |
Medica
| Facility | $306.45 | $472.83 | $798.97 | |
Midlands
| Facility | $478.04 | $849.32 | $34,526.32 | |
Sanford Health Plan
| Professional | $328.62 | $520.29 | $617.79 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |