| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $347.43 | $519.92 | $519.92 | |
Medica
| Facility | $497.35 | $744.77 | $1,195.63 | |
Midlands
| Facility | $826.90 | $1,113.53 | $8,250.46 | |
Sanford Health Plan
| Professional | $509.79 | $683.77 | $989.76 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |