| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $286.98 | $286.98 | $286.98 | |
Medica
| Facility | $388.49 | $512.30 | $835.69 | |
Midlands
| Facility | $468.65 | $702.05 | $979.21 | |
Sanford Health Plan
| Professional | $395.69 | $544.70 | $621.02 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |