| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.48 | $107.48 | $2,290.00 | |
Medica
| Facility | $88.18 | $136.22 | $279.27 | |
Midlands
| Facility | $191.48 | $237.95 | $1,539.00 | |
Sanford Health Plan
| Professional | $112.88 | $172.32 | $202.98 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |