| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $149.37 | $291.62 | $291.62 | |
Aetna
| Facility | 52 | $74.69 | $74.69 | $145.81 |
Medica
| Facility | $193.08 | $402.08 | $828.18 | |
Midlands
| Facility | $361.31 | $565.17 | $1,386.25 | |
Sanford Health Plan
| Professional | $238.11 | $395.59 | $534.94 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |