| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $99.71 | $99.71 | $99.71 | |
Medica
| Facility | $99.45 | $155.44 | $233.45 | |
Midlands
| Facility | $188.24 | $217.08 | $238.72 | |
Sanford Health Plan
| Professional | $125.84 | $166.82 | $190.19 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |