| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.87 | $0.87 | $0.87 | |
Medica
| Facility | $1.06 | $1.96 | $26.76 | |
Midlands
| Facility | $1.62 | $2.29 | $23.00 | |
Sanford Health Plan
| Professional | $1.30 | $1.84 | $18.57 | |
United
| Facility | $1,643.00 | $1,643.00 | $1,643.00 |