| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $159.15 | $355.16 | $355.16 | |
Medica
| Facility | $226.58 | $435.24 | $799.01 | |
Midlands
| Facility | $380.07 | $732.17 | $1,123.16 | |
Sanford Health Plan
| Professional | $233.92 | $436.31 | $650.78 | |
United
| Facility | $1,643.00 | $1,643.00 | $1,643.00 |