| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $223.87 | $446.68 | $4,365.16 | |
Medica
| Facility | $302.00 | $537.03 | $933.25 | |
Midlands
| Professional | $478.63 | $501.19 | $912.01 | |
Sanford Health Plan
| Professional | $380.19 | $549.54 | $831.76 | |
United
| Facility | $2,691.53 | $2,691.53 | $2,691.53 |