| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $469.36 | $511.32 | $2,057.94 | |
Medica
| Facility | $617.39 | $782.28 | $1,172.86 | |
Midlands
| Facility | $230.01 | $1,040.02 | $1,311.45 | |
Sanford Health Plan
| Professional | $514.07 | $811.70 | $1,002.05 | |
United
| Facility | $821.00 | $821.00 | $821.00 |