| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $244.99 | $244.99 | $244.99 | |
Medica
| Facility | $231.01 | $382.50 | $650.78 | |
Midlands
| Facility | $471.78 | $570.15 | $727.89 | |
Sanford Health Plan
| Professional | $298.83 | $399.45 | $455.42 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |