| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.14 | $203.77 | $203.77 | |
Medica
| Facility | $174.38 | $294.70 | $535.33 | |
Midlands
| Facility | $311.61 | $469.85 | $571.41 | |
Sanford Health Plan
| Professional | $211.79 | $336.17 | $397.84 | |
United
| Facility | $821.00 | $821.00 | $821.00 |