| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $497.28 | $497.28 | $497.28 | |
Medica
| Facility | $463.21 | $767.07 | $1,243.66 | |
Midlands
| Facility | $873.93 | $1,277.21 | $20,424.50 | |
Sanford Health Plan
| Professional | $614.54 | $800.60 | $912.78 | |
United
| Facility | $7,865.00 | $7,865.00 | $7,865.00 |