| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.50 | $141.50 | $2,290.00 | |
Medica
| Facility | $174.15 | $217.95 | $332.17 | |
Midlands
| Facility | $268.93 | $337.62 | $466.15 | |
Sanford Health Plan
| Professional | $178.37 | $255.33 | $291.11 | |
United
| Facility | $821.00 | $821.00 | $821.00 |