| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $199.69 | $199.69 | $3,073.00 | |
Medica
| Facility | $235.76 | $282.58 | $555.24 | |
Midlands
| Facility | $416.84 | $519.66 | $2,860.34 | |
Sanford Health Plan
| Professional | $250.84 | $334.92 | $373.91 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |