| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $315.32 | $315.32 | $315.32 | |
Medica
| Facility | $396.07 | $532.89 | $798.22 | |
Midlands
| Facility | $606.41 | $718.25 | $789.84 | |
Sanford Health Plan
| Professional | $403.74 | $529.38 | $603.55 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |