| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $207.09 | $338.36 | $338.36 | |
Medica
| Facility | $277.73 | $489.59 | $828.34 | |
Midlands
| Facility | $476.88 | $734.36 | $3,929.20 | |
Sanford Health Plan
| Professional | $310.60 | $459.49 | $652.72 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |