| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $237.41 | $237.41 | $3,073.00 | |
Medica
| Facility | $226.74 | $370.40 | $600.53 | |
Midlands
| Facility | $395.96 | $618.39 | $948.60 | |
Sanford Health Plan
| Professional | $313.43 | $390.94 | $445.71 | |
United
| Facility | $1,643.00 | $1,643.00 | $1,643.00 |