| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $260.45 | $260.45 | $3,725.84 | |
Medica
| Facility | $346.23 | $450.03 | $721.94 | |
Midlands
| Facility | $415.11 | $622.17 | $1,285.00 | |
Sanford Health Plan
| Professional | $331.62 | $457.32 | $521.40 | |
United
| Facility | $821.00 | $821.00 | $821.00 |