| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $403.58 | $403.58 | $3,511.00 | |
Medica
| Facility | $376.02 | $623.83 | $1,043.43 | |
Midlands
| Facility | $792.33 | $918.01 | $28,283.60 | |
Sanford Health Plan
| Professional | $487.39 | $650.24 | $741.35 | |
United
| Facility | $8,651.00 | $8,651.00 | $8,651.00 |