| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $145.78 | $1,173.68 | $1,173.68 | |
Medica
| Facility | $171.58 | $386.58 | $2,634.44 | |
Midlands
| Facility | $355.02 | $1,416.99 | $3,036.76 | |
Sanford Health Plan
| Professional | $239.21 | $1,480.78 | $2,024.32 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |