| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.13 | $223.87 | $4,365.16 | |
Medica
| Facility | $128.82 | $251.19 | $467.74 | |
Midlands
| Professional | $208.93 | $208.93 | $467.74 | |
Sanford Health Plan
| Professional | $158.49 | $257.04 | $416.87 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |