| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $233.13 | $233.13 | $233.13 | |
Medica
| Facility | $316.00 | $423.70 | $680.18 | |
Midlands
| Facility | $383.36 | $571.03 | $788.38 | |
Sanford Health Plan
| Professional | $318.23 | $440.30 | $545.77 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |