| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $407.95 | $407.95 | $4,338.00 | |
Medica
| Facility | $493.70 | $615.63 | $994.43 | |
Midlands
| Facility | $717.04 | $1,029.47 | $3,276.96 | |
Sanford Health Plan
| Professional | $465.10 | $639.45 | $783.40 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |