| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $369.13 | $369.13 | $369.13 | |
Medica
| Facility | $431.76 | $623.83 | $969.09 | |
Midlands
| Facility | $629.00 | $936.15 | $2,860.34 | |
Sanford Health Plan
| Professional | $449.34 | $609.79 | $697.36 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |