| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.97 | $181.97 | $3,073.00 | |
Medica
| Facility | $228.69 | $302.76 | $517.84 | |
Midlands
| Facility | $321.58 | $443.34 | $516.67 | |
Sanford Health Plan
| Professional | $239.84 | $329.75 | $378.44 | |
United
| Facility | $821.00 | $821.00 | $821.00 |