| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $143.29 | $1,431.40 | $1,431.40 | |
Medica
| Facility | $117.66 | $198.85 | $540.01 | |
Midlands
| Facility | $252.19 | $333.83 | $1,539.00 | |
Sanford Health Plan
| Professional | $161.12 | $229.80 | $338.26 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |