| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $429.59 | $609.20 | $609.20 | |
Medica
| Facility | $595.62 | $859.43 | $1,393.40 | |
Midlands
| Facility | $933.03 | $1,280.93 | $11,370.50 | |
Sanford Health Plan
| Professional | $618.30 | $829.33 | $1,138.54 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |