| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $222.18 | $222.18 | $222.18 | |
Medica
| Facility | $272.66 | $355.78 | $649.57 | |
Midlands
| Facility | $362.17 | $542.23 | $775.87 | |
Sanford Health Plan
| Professional | $319.13 | $431.22 | $491.64 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |