| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $229.59 | $229.59 | $229.59 | |
Medica
| Facility | $283.83 | $388.01 | $607.33 | |
Midlands
| Facility | $414.00 | $538.69 | $702.88 | |
Sanford Health Plan
| Professional | $288.45 | $381.86 | $435.36 | |
Sanford Health Plan
| Professional | AS | $85.84 | $85.84 | $85.84 |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |