| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $196.40 | $196.40 | $2,290.00 | |
Medica
| Facility | $256.70 | $331.92 | $512.36 | |
Midlands
| Facility | $362.37 | $516.98 | $1,969.98 | |
Sanford Health Plan
| Professional | $241.18 | $331.04 | $389.43 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |