| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $291.70 | $291.70 | $291.70 | |
Medica
| Facility | $357.03 | $516.86 | $856.80 | |
Midlands
| Facility | $475.96 | $726.35 | $1,009.47 | |
Sanford Health Plan
| Professional | $382.92 | $566.27 | $645.61 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |