| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $417.63 | $602.94 | $602.94 | |
Medica
| Facility | $585.23 | $852.62 | $1,382.36 | |
Midlands
| Facility | $917.75 | $1,278.00 | $2,824.47 | |
Sanford Health Plan
| Professional | $589.26 | $815.74 | $1,135.96 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |