| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $149.85 | $312.45 | $312.45 | |
Medica
| Facility | $131.05 | $265.95 | $688.18 | |
Midlands
| Facility | $327.76 | $613.73 | $1,539.00 | |
Sanford Health Plan
| Professional | $196.42 | $323.08 | $536.92 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |