| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.52 | $342.00 | $1,056.78 | |
Medica
| Facility | $222.45 | $432.30 | $807.40 | |
Midlands
| Facility | $378.21 | $436.00 | $840.74 | |
Sanford Health Plan
| Professional | $249.83 | $384.67 | $657.25 | |
United
| Facility | $1,643.00 | $1,643.00 | $1,643.00 |