| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $304.29 | $304.29 | $3,073.00 | |
Medica
| Facility | $355.97 | $552.59 | $1,048.53 | |
Midlands
| Facility | $598.92 | $735.72 | $940.64 | |
Sanford Health Plan
| Professional | $413.95 | $558.05 | $666.65 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |