| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $389.05 | $15,488.17 | $15,488.17 | |
Medica
| Facility | $512.86 | $602.56 | $1,000.00 | |
Midlands
| Professional | $794.33 | $794.33 | $831.76 | |
Sanford Health Plan
| Professional | $467.74 | $630.96 | $707.95 | |
United
| Facility | $5,370.32 | $5,370.32 | $5,370.32 |