| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $251.19 | $251.19 | $4,365.16 | |
Medica
| Facility | $302.00 | $346.74 | $630.96 | |
Midlands
| Professional | $524.81 | $524.81 | $549.54 | |
Sanford Health Plan
| Professional | $309.03 | $407.38 | $467.74 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |