| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $136.94 | $136.94 | $2,290.00 | |
Medica
| Facility | $165.67 | $209.23 | $316.00 | |
Midlands
| Facility | $256.00 | $324.13 | $441.11 | |
Sanford Health Plan
| Professional | $171.25 | $242.85 | $276.87 | |
United
| Facility | $821.00 | $821.00 | $821.00 |