| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $302.00 | $302.00 | $4,365.16 | |
Medica
| Facility | $371.54 | $489.78 | $724.44 | |
Midlands
| Professional | $588.84 | $645.65 | $676.08 | |
Sanford Health Plan
| Professional | $309.03 | $512.86 | $660.69 | |
United
| Facility | $812.83 | $812.83 | $812.83 |