| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.80 | $2,454.71 | $3,548.13 | |
Medica
| Facility | $251.19 | $363.08 | $562.34 | |
Midlands
| Professional | $436.52 | $457.09 | $478.63 | |
Sanford Health Plan
| Professional | $245.47 | $354.81 | $407.38 | |
United
| Facility | $2,691.53 | $2,691.53 | $2,691.53 |