| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.26 | $291.04 | $291.04 | |
Medica
| Facility | $99.13 | $245.99 | $608.41 | |
Midlands
| Facility | $248.27 | $546.22 | $1,539.00 | |
Sanford Health Plan
| Professional | $155.41 | $299.27 | $498.76 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |